Active NPI
Brooke Cuff Burguillos
- Speech-Language Pathologist
- Villa Rica, GA
National Provider Identifier
1376266569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP011876
- Practice address
- 1046 Monticello Dr
Villa Rica, GA 30180-7801 - Phone
- (770) 212-0750
- NPI assigned
- Sep 22, 2022
- Last updated
- Jan 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP011876 | GA | Primary |
Addresses
Primary practice location
1046 Monticello Dr
Villa Rica, GA 30180-7801
Mailing address
1046 Monticello Dr
Villa Rica, GA 30180-7801
Phone (770) 212-0750
Other practice location 1
619 Newnan St
Carrollton, GA 30117-3428
Phone (770) 212-0750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15695481 | Other | CAQH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | AbleRehab | ||
| CONNECT URL | LittleCommunicators |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP011876 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Communicators | Speech-Language Pathologist | Current | Accepting new patients |
| Professional Rehabilitation Associates, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Villa Rica, GA
- NPI 1477380038
-
dba Able Rehab of PRA, LLC
- Occupational Therapist
- Villa Rica, GA
- NPI 1528499043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1376266569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 MONTICELLO DR",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301807801",
"telephone_number": "770-212-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 MONTICELLO DR",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301807801",
"telephone_number": "770-212-0750"
}
],
"practiceLocations": [
{
"address_1": "619 Newnan St",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "GA",
"postal_code": "301173428",
"country_code": "US",
"telephone_number": "770-212-0750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGUILLOS",
"first_name": "BROOKE",
"middle_name": "CUFF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-22",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP011876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15695481",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "AbleRehab",
"affiliation": "N",
"endpointDescription": "Workplace",
"address_1": "2000 Mirror Lake Blvd Ste T",
"city": "Villa Rica",
"state": "GA",
"country_code": "US",
"postal_code": "301802126",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "LittleCommunicators",
"affiliation": "N",
"endpointDescription": "Workplace",
"address_1": "1046 Monticello Dr",
"city": "Villa Rica",
"state": "GA",
"country_code": "US",
"postal_code": "301807801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Villa Rica, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.