Organization Active NPI

Bridge Speech Therapy LLC

  • Speech-Language Pathologist
  • St Petersburg, FL
National Provider Identifier
1952081200
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BRIDGE SPEECH THERAPY LLC
Practice address
4200 4TH St N Ste B
St Petersburg, FL 33703-4735
Phone
(727) 201-3434
NPI assigned
Jul 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Carolyn Bridge, M.S., CCC-SLPNPI 1437205762
Title
Owner/Speech-Language Pathologist
Phone
(813) 787-2341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4200 4TH St N Ste B
St Petersburg, FL 33703-4735

Mailing address

5422 16TH LN NE
St Petersburg, FL 33703-1754
Phone (813) 787-2341

National Provider Directory

National Provider Directory

Locations

4200 4th St N
Ste B
St Petersburg, FL 33703
Phone (727) 201-3434

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1952081200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 16TH LN NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031754",
            "telephone_number": "813-787-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 4TH ST N STE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034735",
            "telephone_number": "727-201-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "BRIDGE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "813-787-2341",
        "authorized_official_credential": "M.S., 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": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.