Bridges Pediatric Speech Therapy LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BRIDGES PEDIATRIC SPEECH THERAPY LLC

Practice address

1450 Black Pine CT
Castle Rock, CO 80104-7610

Phone

(970) 590-9241

NPI assigned

Sep 8, 2019

Organization subpart

No

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

Authorized official

Name

Adrianna Avery, MA CCC-SLPNPI 1326350109

Title

Speech Language Pathologist

Phone

(970) 590-9241

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adrianna Ackerman Avery, CCC-SLP

  • Speech-Language Pathologist
  • Castle Rock, CO
  • NPI 1326350109
  NPD Authorized official

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567900800000",
    "number": "1639728199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 BLACK PINE CT",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BLACK PINE CT",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047610",
            "telephone_number": "970-590-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES PEDIATRIC SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-08",
        "last_updated": "2019-09-08",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "ADRIANNA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "970-590-9241",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326350109",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Branson, P.A.-C
• Thomas Lee Bratz, R.PH.
• Carla T Bregni-Page, DO
• Brenna McLain, DDS, PLLC
• Karen Marie Brennan, NC, BCHN, MSW
• Bright Start Occupational Therapy, LLC
• Kylee Brightside, DDS
• Brigid Medical, LLC
• Ethan Brilley
• Melissa Ann Brizgis, OT/L, MS

• Early Intervention Provider Agency in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Early Intervention Provider Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.