Active NPI
Building Pathways Therapy LLC
- Behavior Analyst
- Atlanta, GA
National Provider Identifier
1598379794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BUILDING PATHWAYS THERAPY LLC
- Practice address
- 2124 Cheshire Bridge Rd NE Apt 2006
Atlanta, GA 30324-5731 - Phone
- (863) 651-3684
- NPI assigned
- Sep 4, 2020
- 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
- Judlande Guervil, PT, DPT
- Title
- Physical Therapist
- Phone
- (863) 651-3684
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Pediatric Physical Therapist | 2251P0200X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
2124 Cheshire Bridge Rd NE Apt 2006
Atlanta, GA 30324-5731
Mailing address
7200 Mystic Brook Way
Davenport, FL 33896-6703
Phone (186) 365-1368
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Locust Grove, GA
- NPI 1568701597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599177600000",
"number": "1598379794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 MYSTIC BROOK WAY",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338966703",
"telephone_number": "186-365-1368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 CHESHIRE BRIDGE RD NE APT 2006",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303245731",
"telephone_number": "863-651-3684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUILDING PATHWAYS THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-04",
"last_updated": "2020-09-04",
"certification_date": "2020-09-02",
"status": "A",
"authorized_official_last_name": "GUERVIL",
"authorized_official_first_name": "JUDLANDE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "863-651-3684",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.