ROGERS BRIDGE PEDIATRIC THERAPY, LLC (NPI# 1053839456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053839456 |
| Entity Type | Organization |
| Organization Name | ROGERS BRIDGE PEDIATRIC THERAPY, LLC |
| Practice Address |
2845 Summercrest Ln Duluth GA 30096 |
| Mailing Address |
2845 Summercrest Ln Duluth GA 30096-2776 |
| Practice Telephone | (478) 454-8889 |
| Practice Fax Number | 6782806766 |
| Mailing Telephone | 4784548889 |
| Mailing Fax Number | 6782806766 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | JESSIE NELSON WILLIS (OWNER) |
| Authorized Official Telephone | 4784548889 |
| Authorized Official Credential | CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
SLP007707 | GA | Ambulatory Health Care Facilities |
| Street Address |
2845 SUMMERCREST LN |
| City | DULUTH |
| State | GA |
| Zip Code | 30096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366003014 | Debra Jordan-mccurdy | Speech-Language Pathologist | 2845 Summercrest Ln, Duluth, GA 30096-2776 | 2019-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1851818579 | Ji A Kim | Pharmacist | 2550 Pleasant Hill Road, Suite 120, Duluth, GA 30096 | 2017-08-23 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668472 | Floyd Speech Services LLC | Clinic/Center | 99 Plum St, Cuthbert, GA 39840-5808 | 2020-10-29 |
| 1073125118 | Talk To Me, Inc. | Clinic/Center | 1100 E Jackson St Ste A, Thomasville, GA 31792-4788 | 2020-08-19 |
| 1144839077 | Cbr Therapy Consultants | Clinic/Center | 2107 Brimfield Ct Nw, Kennesaw, GA 30144-7011 | 2020-07-27 |
| 1790332948 | Acr Speaking Dimensions, Inc | Clinic/Center | 1075 Cooper Rd Ste 100, Grayson, GA 30017-4268 | 2019-08-22 |
| 1760040414 | Voice, Speech, and Swallowing Center of Georgia, LLC | Clinic/Center | 407 Livingston Pt, Acworth, GA 30102-0104 | 2019-05-29 |
| 1407330053 | Talk Time Speech and Language Services | Clinic/Center | 1294 Fernwood Cir Ne, Brookhaven, GA 30319-3406 | 2018-09-19 |
| 1558862748 | Speech Sounds, LLC | Clinic/Center | 1459 Fenwick Dr Sw, Marietta, GA 30064-2783 | 2018-02-23 |
| 1174024640 | Northland Hearing Center, Inc. | Clinic/Center | 1635 Old Highway 41 Nw Ste 203, Kennesaw, GA 30152-4482 | 2018-02-21 |
| 1124536750 | Jd Reynolds Inc., Dba Beltone Hearing Aid Center | Clinic/Center | 100 Commercial Ct Ste A, Savannah, GA 31406-3655 | 2018-01-17 |
| 1508370560 | Gn Hearing Care Corp | Clinic/Center | 937 Enota Ave Ne, Gainesville, GA 30501-1719 | 2017-11-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROGERS BRIDGE PEDIATRIC THERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.