Ridge Therapy PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

RIDGE THERAPY PLLC

Practice address

12247 Ridgefair PL
Farmers Branch, TX 75234-7805

Phone

(208) 596-2666

NPI assigned

Dec 30, 2022

Organization subpart

No

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

Authorized official

Name

Amy Berglund-Barraza, PHD, CCC-SLPNPI 1942913389

Title

Owner and Founder

Phone

(208) 596-2666

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Berglund-Barraza, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Farmers Branch, TX
  • NPI 1942913389
  NPD Authorized official

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1831802271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12247 RIDGEFAIR PL",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347805",
            "telephone_number": "208-596-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12247 RIDGEFAIR PL",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347805",
            "telephone_number": "208-596-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "BERGLUND-BARRAZA",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER AND FOUNDER",
        "authorized_official_telephone_number": "208-596-2666",
        "authorized_official_credential": "PHD, 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": []
}

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• Speech-Language Pathologist in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.