Stacey Jill Bridges, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

14574 Issued in NC

Practice address

3107 Meeting Street Rd
North Charleston, SC 29405-7980

Phone

(843) 654-7464

Fax

(843) 654-1903

NPI assigned

Jan 12, 2024

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beautiful Gate Center

  • Clinic/Center
  • North Charleston, SC
  • NPI 1912358144

  Occupational Therapy Assistant

  NPD

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1811768310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 OLD PARK RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054745",
            "telephone_number": "910-232-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 MEETING STREET RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057980",
            "telephone_number": "843-654-7464",
            "fax_number": "843-654-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "STACEY",
        "middle_name": "JILL",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "14574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breathe Life Counseling
• Karey L Breen, M.D.
• Taylor Spearman Brewer, D.P.T.
• Paige Hill Bridge
• Ginger Bridges, RPH
• Georgia Christine Bridwell, RBT
• Brieasy Speech LLC
• Christopher B. Briggman, LCMHCA
• Bright Alliance Rehabilitation Medicine
• Brights Care

• Occupational Therapy Assistant in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.