Organization Active NPI

Bright Strides Speech Therapy LLC

  • Speech-Language Pathologist
  • Gretna, VA
National Provider Identifier
1801413885
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BRIGHT STRIDES SPEECH THERAPY LLC
Practice address
102 South Main Street
Gretna, VA 24557
Phone
(434) 352-1396
Fax
(434) 656-1959
NPI assigned
Jun 25, 2020
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Anissa C Weimer, MS/CCC-SLPNPI 1386043800
Title
Owner/Speech Lang. Pathologist
Phone
(434) 352-1396

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

102 South Main Street
Gretna, VA 24557

Mailing address

PO Box 1070
Gretna, VA 24557
Phone (434) 352-1396

National Provider Directory

National Provider Directory

Locations

102 S Main St
Gretna, VA 24557
Phone (434) 352-1396

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1801413885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1070",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "24557",
            "telephone_number": "434-352-1396",
            "fax_number": "434-656-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SOUTH MAIN STREET",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "24557",
            "telephone_number": "434-352-1396",
            "fax_number": "434-656-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT STRIDES SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-10-12",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "WEIMER",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/SPEECH LANG. PATHOLOGIST",
        "authorized_official_telephone_number": "434-352-1396",
        "authorized_official_credential": "MS/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 Gretna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.