Active NPI
Bramlett Rehabilitation Services, Inc
- Speech-Language Pathologist
- Social Circle, GA
National Provider Identifier
1811294044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP005098
- Legal business name
- BRAMLETT REHABILITATION SERVICES, INC
- Practice address
- 1509 Amberstapp Studdard Rd
Social Circle, GA 30025-4401 - Phone
- (770) 630-4852
- Fax
- (770) 464-1462
- NPI assigned
- Feb 24, 2011
- 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
- Mrs. Robin Bramlett, M.ED.
- Title
- Speech-Language Pathologist
- Phone
- (770) 630-4852
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT003268 | GA | |
| Speech-Language Pathologist | 235Z00000X | SLP005098 | GA | Primary |
Addresses
Primary practice location
1509 Amberstapp Studdard Rd
Social Circle, GA 30025-4401
Mailing address
1509 Amberstapp Studdard Rd
Social Circle, GA 30025-4401
Phone (770) 630-4852
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000936977B | Medicaid | GA | |
| 000938176A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298505600000",
"number": "1811294044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 AMBERSTAPP STUDDARD RD",
"city": "SOCIAL CIRCLE",
"state": "GA",
"postal_code": "300254401",
"telephone_number": "770-630-4852",
"fax_number": "770-464-1462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 AMBERSTAPP STUDDARD RD",
"city": "SOCIAL CIRCLE",
"state": "GA",
"postal_code": "300254401",
"telephone_number": "770-630-4852",
"fax_number": "770-464-1462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAMLETT REHABILITATION SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-24",
"last_updated": "2011-02-24",
"status": "A",
"authorized_official_last_name": "BRAMLETT",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "770-630-4852",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.ED."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT003268",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000936977B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000938176A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Social Circle, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.