Bridgette Kelliher

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL012708 Issued in PA

Practice address

1019 Egypt Rd Unit 2B
Phoenixville, PA 19460-1111

Phone

(484) 214-5550

Fax

(484) 685-4621

NPI assigned

Aug 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Bridgette Burt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Theraplay, LLC

  • Clinic/Center
  • West Chester, PA
  • NPI 1982032793
  NPD (past)

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1487933388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 EGYPT RD UNIT 2B",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601111",
            "telephone_number": "484-214-5550",
            "fax_number": "484-685-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLIHER",
        "first_name": "BRIDGETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012708",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021223-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGETTE",
            "last_name": "BURT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin Lee Katra, PHARMD
• Kailash KC, DO
• Gregory F Keenan, M.D.
• Oladoye O Kehinde, MD
• Stacey Keller, CPS
• Cynthia Kellogg, M.D.
• Andrew John Kelly, PA-C
• Kimberly Kelly, M.A., L.P.C
• Colleen Kennedy
• Taylor Kenny

• Speech-Language Pathologist in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.