BLUE BRIDGE THERAPY CENTER LLC (NPI# 1972111425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972111425 |
| Entity Type | Organization |
| Organization Name | BLUE BRIDGE THERAPY CENTER LLC |
| Practice Address |
4531 Deleon St Ste 212 Fort Myers FL 33907-1279 |
| Practice Telephone | 7865348773 |
| Mailing Telephone | 7865348773 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | MRS. DAYANI AGUIRRE (CO OWNER) |
| Authorized Official Telephone | 7865348773 |
| Authorized Official Credential | M.S., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
4531 DELEON ST STE 212 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-1279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063089 | Lee County Sheriff's Office | Clinic/Center | 14311 Metropolis Ave Ste 102, Fort Myers, FL 33912-4442 | 2019-09-20 |
| 1891348264 | Rehab Specialist of Lee Corp | Clinic/Center | 6120 Winkler Rd Ste G, Fort Myers, FL 33919-8192 | 2019-07-24 |
| 1619431848 | Relief Md Rehab Specialists Inc | Clinic/Center | 2830 Winkler Ave Ste 118, Fort Myers, FL 33916-9301 | 2019-01-22 |
| 1437636396 | Sand Vision LLC | Clinic/Center | 6891 Daniels Pkwy Ste 140, Fort Myers, FL 33912-1503 | 2018-07-24 |
| 1376993980 | Adv An Ced Florida Medical Group, Corp. | Clinic/Center | 3900 Broadway Ste D-9, Fort Myers, FL 33901-8193 | 2016-06-14 |
| 1831430313 | Chiropractic Care of Sw Fl Pa | Clinic/Center | 3509 Fowler St, Fort Myers, FL 33901-0925 | 2013-03-08 |
| 1720324411 | Aids Healthcare Foundation | Clinic/Center | 2125 Illinois Ave, Fort Myers, FL 33901-3505 | 2012-12-27 |
| 1689931834 | Advance Health Solutions, Inc. | Clinic/Center | 2336 Cleveland Ave Ste B, Fort Myers, FL 33901-3540 | 2012-04-12 |
| 1811219058 | Family Chiro-rehab Center Inc | Clinic/Center | 14651 Palm Beach Blvd Ste 104, Fort Myers, FL 33905-2331 | 2010-02-15 |
| 1568792042 | Sw Rehabilitation Center Inc | Clinic/Center | 2675 Winkler Ave Ste 100, Fort Myers, FL 33901-9383 | 2010-01-06 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on BLUE BRIDGE THERAPY CENTER 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.