DIANE BRIDGES (NPI# 1306482625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306482625 |
| Entity Type | Individual |
| Full Name | DIANE BRIDGES |
| Practice Address |
4992 Bristol Industrial Way Buford GA 30518-1742 |
| Practice Telephone | 7709046419 |
| Mailing Telephone | 7709046419 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4992 BRISTOL INDUSTRIAL WAY |
| City | BUFORD |
| State | GA |
| Zip Code | 30518-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053645366 | Lindsey Milner Willis | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2009-09-21 |
| 1801422613 | Heather Jackson | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2020-03-13 |
| 1699301416 | Cathie Bigman | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2020-03-13 |
| 1104489301 | Michelle Prather | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2019-04-15 |
| 1578022596 | Greta Blankenship | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2019-03-19 |
| 1891263596 | Stephany Kuzminski | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2018-11-12 |
| 1932682465 | Kathleen J Mcgregor, M.a. | Speech-Language Pathologist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2018-09-11 |
| 1821524141 | Savannah Hall | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2017-05-05 |
| 1235590266 | Sheri Hudanick | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2016-03-18 |
| 1225496284 | Peach State Pediatric Therapy | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2016-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
| 1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
| 1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
| 1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
| 1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
| 1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
| 1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
| Find all providers in zip 30518 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379794 | Building Pathways Therapy LLC | Physical Therapist | 2124 Cheshire Bridge Rd Ne Apt 2006, Atlanta, GA 30324-5731 | 2020-09-04 |
| 1679191464 | Pt Mamas, LLC | Physical Therapist | 5660 Lake Forrest Dr, Atlanta, GA 30342-4635 | 2020-07-08 |
| 1336764869 | Outside The Box Pediatric Therapy Solutions | Physical Therapist | 123 Talbot Rd, Savannah, GA 31410-4015 | 2020-06-10 |
| 1215557921 | Carly Cee Witt Gesite | Physical Therapist | 11785 Northfall Ln Ste 501&502, Alpharetta, GA 30009-7971 | 2020-04-22 |
| 1669009627 | Rebecca Grant | Physical Therapist | 5461 Meridian Mark Rd Ste 300, Atlanta, GA 30342-4014 | 2020-03-26 |
| 1508401704 | Danielle Anderson | Physical Therapist | 2146 Thompson Ave Se, Covington, GA 30014-2819 | 2019-11-12 |
| 1124677919 | Therapy Trails of Evans | Physical Therapist | 536 Grand Slam Dr Ste D, Evans, GA 30809-8045 | 2019-09-05 |
| 1043877459 | Hop, Skip & Jump Pediatric Physical Therapy LLC | Physical Therapist | 912 Milledge Rd, Augusta, GA 30904-4455 | 2019-05-21 |
| 1255894366 | Cicely Annette Watson | Physical Therapist | 2620 Satellite Blvd Ste 100, Duluth, GA 30096-1291 | 2019-04-08 |
| 1942772975 | Wee Care Pediatric Therapy, LLC | Physical Therapist | 335 Old Rail Rd, Bloomingdale, GA 31302-4025 | 2019-01-02 |
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| 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.