BLUE BIRD OT, LLC
NPI 1649730045
Clinic/Center - Developmental Disabilities in Tampa, FL

Active since March 21, 2019
501 KNIGHTS RUN AVE APT 4102, TAMPA, FL 33602(501) 317-8713 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blue Bird Ot, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE BIRD OT, LLC (NPI 1649730045) is a healthcare organization registered as a developmental disabilities in Tampa, Florida and active in the NPI registry since March 2019. The organization lists Brecca Lynn Michaud, Owner, as its authorized official.

NPPES Registry Identity

NPI1649730045
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameBLUE BIRD OT, LLC
Location Address501 KNIGHTS RUN AVE APT 4102Tampa, FL 33602-5948
Mailing Address501 Knights Run Ave Apt 4102Tampa, FL 33602-5948 · (501) 317-8713
Organization SubpartNo
Authorized OfficialBrecca Lynn MichaudOwner · (501) 317-8713
Enumeration DateMarch 21, 2019
NPI 1649730045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
501 KNIGHTS RUN AVE APT 4102, Tampa, FL 33602

Other Identifiers 1

Medicaid742945FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Bird Ot, LLC's NPI number?

The NPI number for Blue Bird Ot, LLC is 1649730045. It was assigned to this organization in the NPPES registry on March 21, 2019.

Where is Blue Bird Ot, LLC located?

Blue Bird Ot, LLC is located at 501 Knights Run Ave Apt 4102, Tampa, FL 33602. The listed phone number is (501) 317-8713.

What is Blue Bird Ot, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Blue Bird Ot, LLC was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.