Organization Active NPI

Bridge Therapy Services, LLC

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1710721964
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BRIDGE THERAPY SERVICES, LLC
Practice address
3350 Riverwood Pkwy SE Ste 1900
Atlanta, GA 30339-2066
Phone
(305) 528-2932
NPI assigned
Jun 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Authorized official

Name
Austyn MimsNPI 1518427772
Title
Owner
Phone
(305) 528-2932

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 1

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

Addresses

Primary practice location

3350 Riverwood Pkwy SE Ste 1900
Atlanta, GA 30339-2066

Mailing address

3350 Riverwood Pkwy SE Ste 1900
Atlanta, GA 30339-2066

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719014400000",
    "number": "1710721964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 RIVERWOOD PKWY SE STE 1900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 RIVERWOOD PKWY SE STE 1900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392066",
            "telephone_number": "305-528-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "AUSTYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-528-2932"
    },
    "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 Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.