NPIMap

Organization Active NPI

Bright Horizons Pediatric Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Marietta, GA
National Provider Identifier
1447557566
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SLP005597 Issued in GA
Legal business name
BRIGHT HORIZONS PEDIATRIC THERAPY, LLC
Practice address
3162 Johnson Ferry Rd
Suite 260 # 325
Marietta, GA 30062-7604
Phone
(404) 547-0825
Fax
(770) 786-6618
NPI assigned
Feb 25, 2011
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Mrs. Carmie Anne Leister, MS, CCC-SLPNPI 1124232210
Title
Speech & Language Pathologist-Owner
Phone
(404) 547-0825

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X SLP005597 GA Primary

Addresses

Primary practice location

3162 Johnson Ferry Rd
Suite 260 # 325
Marietta, GA 30062-7604

Mailing address

3162 Johnson Ferry Rd
Suite 260 # 325
Marietta, GA 30062-7604
Phone (404) 547-0825

National Provider Directory

National Provider Directory

Locations

3162 Johnson Ferry Rd
Ste 260
Marietta, GA 30062
Phone (404) 547-0825

570 W Crossville Rd
Ste 104
Roswell, GA 30075
Phone (404) 547-0825

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1447557566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 JOHNSON FERRY RD",
            "address_2": "SUITE 260 # 325",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627604",
            "telephone_number": "404-547-0825",
            "fax_number": "770-783-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 JOHNSON FERRY RD",
            "address_2": "SUITE 260 # 325",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627604",
            "telephone_number": "404-547-0825",
            "fax_number": "770-786-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HORIZONS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "LEISTER",
        "authorized_official_first_name": "CARMIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "SPEECH & LANGUAGE PATHOLOGIST-OWNER",
        "authorized_official_telephone_number": "404-547-0825",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "GA",
            "license": "SLP005597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.