NPIMap

Organization Active NPI

Bridge the Gap Therapy

  • Speech-Language Pathologist
  • Woodstock, GA
National Provider Identifier
1699345470
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BRIDGE THE GAP THERAPY
Practice address
10917 Highway 92 Ste 130140
Woodstock, GA 30188-6329
Phone
(678) 447-1617
Fax
(678) 735-7505
NPI assigned
Jun 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Lauren Marie Peet, CCC-SLP
Title
Owner
Phone
(678) 447-1617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

10917 Highway 92 Ste 130140
Woodstock, GA 30188-6329

Mailing address

10917 Highway 92 Ste 130&140
Woodstock, GA 30188-6329
Phone (678) 447-1617

Other practice location 1

3217 S Cherokee Ln Ste 710
Woodstock, GA 30188-7053
Phone (678) 447-1617

National Provider Directory

National Provider Directory

Locations

10917 Highway 92
Ste 130
Woodstock, GA 30188
Phone (678) 447-1617

3217 S Cherokee Ln
Ste 710
Woodstock, GA 30188
Phone (678) 447-1617

10917 Highway 92
Ste 130140
Woodstock, GA 30188
Phone (678) 447-1617

3217 S Cherokee Ln
Woodstock, GA 30188

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1699345470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10917 HIGHWAY 92 STE 130&140",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886329",
            "telephone_number": "678-447-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10917 HIGHWAY 92 STE 130140",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886329",
            "telephone_number": "678-447-1617",
            "fax_number": "678-735-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3217 S Cherokee Ln Ste 710",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301887053",
            "country_code": "US",
            "telephone_number": "678-447-1617",
            "fax_number": "678-735-7505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGE THE GAP THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "PEET",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-447-1617",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.