MEDICARE: BRIDGING THE PIECES THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447786314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGING THE PIECES THERAPY LLC

Provider Business Mailing Address
First Line	:	5192 VICTORIA CIR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-7846
Country	:	US
Telephone Number	:	551-265-2528
Fax Number	:	561-246-4052

Provider Business Practice Location Address
First Line	:	5192 VICTORIA CIR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-7846
Country	:	US
Telephone Number	:	561-247-0289
Fax Number	:	561-246-4052

Authorized Official
Title or Position	:	FOUNDER
Name	:	ASHLEY ROMERO
Credential	:
Telephone Number	:	551-265-2528

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	10/29/2019

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