BRIDGING THE GAP THERAPY LLC


Address: 1024 Foxhollow Trl, Canton, GA 30115-4357
Phone: 6784478282

BRIDGING THE GAP THERAPY LLC (NPI# 1760837579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760837579
Entity Type Organization
Organization Name BRIDGING THE GAP THERAPY LLC
Practice Address 1024 Foxhollow Trl
Canton
GA 30115-4357
Practice Telephone 6784478282
Mailing Telephone 6784478282
Enumeration Date 2016-04-29
Last Update Date 2016-04-29
Authorized Official Name CINDY BAKER (OWNER/OPERATOR)
Authorized Official Telephone 6784478282
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare GA Agencies

Office Location

Street Address 1024 FOXHOLLOW TRL
City CANTON
State GA
Zip Code 30115-4357

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1497364806 Amanda Arbogast Speech-Language Pathologist 610 Royal Crest Court, Canton, GA 30115 2020-07-31
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1700394319 Jennifer Lynn Davenport Nurse Practitioner 684 Sixes Rd Ste 125, Holly Springs, GA 30115 2018-01-17
1851717961 Wal-mart Stores East, Lp Technician/Technologist 2200 Holly Springs Pkey, Holly Springs, GA 30115 2014-03-13
1194148502 Julia Bedingfield Reid Pharmacist 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 2014-01-22
1447597992 America's Best Contacts & Eyeglasses Technician/Technologist 2030 Cumming Highway, Suite 106, Canton, GA 30115 2013-01-03
1679821193 Jill M Decorso Speech-Language Pathologist 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 2012-08-15
1306113378 Sidney Boyd Collier IIi Pharmacist 6111 Hickory Flat Highway, Canton, GA 30115 2011-11-18
1174804702 Rayllensons Itacy Physician Assistant 2020 Cumming Highway, Suite 102, Canton, GA 30115 2011-09-09
1245534346 Kim M. Mcmillan Counselor 154 Lakeside Drive, Canton, GA 30115 2011-01-04
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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841672599 Farmington Valley Health District Public Health or Welfare 95 River Road, Canton, CT 06019-3201 2015-06-18
1154731511 Mississippi State Department of Health Public Health or Welfare 309 Park Dr, Canton, MS 39046-3789 2014-05-06
1417161274 Town of Canton Public Health or Welfare 79 Pleasant St, Canton, MA 02021-2231 2007-05-10
1770603359 Stark County Board of Dd Public Health or Welfare 2950 Whipple Ave Nw, Canton, OH 44708-1534 2007-03-29
1376658344 Canton Friendship Center, Inc. Public Health or Welfare 2200 Cleveland Ave Nw, Canton, OH 44709-3609 2006-08-20
1700890779 Stark County Auditor Public Health or Welfare 3969 Convenience Cir Nw, Canton, OH 44718-2600 2006-07-27
1659345718 Cherokee County Board of Health Public Health or Welfare 1219 Univeter Rd, Canton, GA 30114 2006-02-15
1609846310 Canton Community Kidsummit Against Drugs Public Health or Welfare 1227 Gross Ave Ne, Canton, OH 44705-1605 2006-01-25
1609343037 Whitfield County Board of Health Public Health or Welfare 130 Riverstone Ter Ste 102, Canton, GA 30114-1702 2018-10-24
1982037321 St Lawrence County Public Health Department Public Health or Welfare 80 Sh 310, Canton, NY 13617-1436 2013-08-20
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Competitor

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City CANTON
Zip Code 30115

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Dataset Information

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.

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