Organization Active NPI

Bagg Therapy Group

  • Speech-Language Pathologist
  • Aldie, VA
National Provider Identifier
1346788189
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202007683 Issued in VA
Legal business name
BAGG THERAPY GROUP
Practice address
41161 Turkey Oak Dr
Aldie, VA 20105-5868
Phone
(908) 216-2593
NPI assigned
Feb 1, 2017
Last updated
Feb 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Patricia Bagg, CCC-SLP, BCBA, LBANPI 1871030817
Title
Ceo
Phone
(908) 216-2593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202007683 VA Primary
Behavior Analyst 103K00000X 0133000547 VA

Addresses

Primary practice location

41161 Turkey Oak Dr
Aldie, VA 20105-5868

Mailing address

41161 Turkey Oak Dr
Aldie, VA 20105-5868
Phone (908) 216-2593

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1346788189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41161 TURKEY OAK DR",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201055868",
            "telephone_number": "908-216-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41161 TURKEY OAK DR",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201055868",
            "telephone_number": "908-216-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGG THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "BAGG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-216-2593",
        "authorized_official_credential": "CCC-SLP, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007683",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aldie, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.