Bridge Therapy Group LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BRIDGE THERAPY GROUP LLC

Practice address

1845 4TH LN
Vero Beach, FL 32962-2172

Phone

(321) 378-0323

NPI assigned

Aug 14, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa M Johnson

Title

Ambr

Phone

(321) 378-0323

Specialties & licenses 1

Addresses

Tax ID family

Bridge Therapy Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bridge Therapy Group

  • Occupational Therapist
  • Vero Beach, FL
  • NPI 1356124291
  NPD tax ID
• Bridge Therapy Group LLC

  • Behavior Analyst
  • Vero Beach, FL
  • NPI 1235912759
  NPD tax ID

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1912780156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 4TH LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329622172",
            "telephone_number": "321-378-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 4TH LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329622172",
            "telephone_number": "321-378-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "321-378-0323"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Brengle
• Lisa Anne Brenneman, LMHC
• Brian J.Deonarine, MD PA
• Bridge Therapy Group
• Bridge Therapy Group LLC
• Bright Circle Health LLC
• Andrew Brill, M.D.
• Sthefanie Bringel Dos Santos
• Pauline Elizabeth Brinsky, DPT
• Trent Smith Brister, P.A.-C

• Behavior Analyst in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.