Organization Active NPI

Bramlett Rehabilitation Services, Inc

  • Speech-Language Pathologist
  • Social Circle, GA
National Provider Identifier
1811294044
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005098 Issued in GA
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

Updated by the provider on Feb 24, 2011

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X OT003268 GA
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000936977BMedicaidGA
000938176AMedicaidGA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.