Active NPI
Bridge of Hope Plus
- Speech-Language Pathologist
- Kissimmee, FL
National Provider Identifier
1558747253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA10556
- Legal business name
- BRIDGE OF HOPE PLUS
- Practice address
- 818 N Main St
Kissimmee, FL 34744-4564 - Phone
- (407) 575-4636
- Fax
- (407) 343-5599
- NPI assigned
- Aug 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hector L Rodriguez II, AB
- Title
- Director
- Phone
- (407) 575-4636
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 6408 | FL | |
| Occupational Therapist | 225X00000X | OT14170 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA10556 | FL | Primary |
Addresses
Primary practice location
818 N Main St
Kissimmee, FL 34744-4564
Mailing address
PO Box 452878
Kissimmee, FL 34745-2878
Phone (407) 575-4636
National Provider Directory
National Provider Directory- Tax ID family
- Bridge of Hope
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1174977888
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1043670250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438646400000",
"number": "1558747253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452878",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347452878",
"telephone_number": "407-575-4636",
"fax_number": "407-343-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 N MAIN ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444564",
"telephone_number": "407-575-4636",
"fax_number": "407-343-5599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGE OF HOPE PLUS",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "HECTOR",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "407-575-4636",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "AB"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 6408",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT14170",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA10556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
- Bridge of Hope Central Florida Corp
- Bridge of Hope Central Florida Corp
- Bridge of Hope Central Florida Corp
- Bridge of Hope Inc
- Bridge of Hope of Central Florida Corp
- Bridge of Hope Plus Corp
- Ryan Richard Bridge, PHARM.D.
- Bridgewater Emergency Physicians, LLC
- Jason Briggs
- Bright Future Therapy Solutions, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.