Active NPI
Bridge Therapy LLC
Doing business as Bridge Therapy
- Physical Therapy Clinic/Center
- Overland Park, KS
National Provider Identifier
1821973033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- BRIDGE THERAPY LLC
- Doing business as
- Bridge Therapy
- Practice address
- 12817 Melrose St
Overland Park, KS 66213-3455 - Phone
- (913) 744-1138
- NPI assigned
- Aug 7, 2025
- Last updated
- Aug 7, 2025
- 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
- Mr. Derek Evans
- Title
- Ceo
- Phone
- (913) 744-1138
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | NU | ||
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary | |
| Occupational Medicine Clinic/Center | 261QX0100X | NU |
Addresses
Primary practice location
12817 Melrose St
Overland Park, KS 66213-3455
Mailing address
12817 Melrose St
Overland Park, KS 66213-3455
Phone (913) 744-1138
Other names 1
- Bridge Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & 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": "1754524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754524800000",
"number": "1821973033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12817 MELROSE ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662133455",
"telephone_number": "913-744-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12817 MELROSE ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662133455",
"telephone_number": "913-744-1138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-07",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "913-744-1138",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bridge Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.