Building Bridges Therapy Center

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

06-005 Issued in AR

Legal business name

BUILDING BRIDGES THERAPY CENTER

Practice address

316 Blackfin Dr
Russellville, AR 72802-2295

Phone

(501) 467-0101

NPI assigned

May 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Jennifer N. Powell, SLPA

Title

Speech Pathology Assistant

Phone

(501) 620-8801

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Building Bridges Therapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Building Bridges Therapy Center

  • Speech-Language Assistant
  • Fayetteville, AR
  • NPI 1477508224
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1114132883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E HIGHWAY 171",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138614",
            "telephone_number": "501-620-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BLACKFIN DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728022295",
            "telephone_number": "501-467-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BRIDGES THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "SPEECH PATHOLOGY ASSISTANT",
        "authorized_official_telephone_number": "501-620-8801",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "SLPA"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": "06-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162049721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callie Michelle Brucks, CASE MANAGER PARAPRO
• Megan Shyanne Brunner, PTA
• Darci Bryan, CASE MANAGER PARAPRO
• Karen S Buchanan, NP
• Mark Edward Buchanan, M.D.
• Kara Burge
• James Garland Burgess, M.D.
• Ashley L Burnham, MD
• Rosemary Burns
• Cameron Burroughs, PT, DPT

• Speech-Language Assistant in Russellville, AR
• Providers in Russellville, AR by specialty
• Speech-Language Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.