1. Home
  2. Directory
  3. Georgia
  4. Duluth
  5. Clinic Center
  6. NPI Profile

ROGERS BRIDGE PEDIATRIC THERAPY, LLC
NPI 1053839456
Clinic/Center - Hearing and Speech in Duluth, GA

Active since September 06, 2017
2845 SUMMERCREST LN, DULUTH, GA 30096(478) 454-8889(678) 280-6766 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rogers Bridge Pediatric Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGERS BRIDGE PEDIATRIC THERAPY, LLC (NPI 1053839456) is a healthcare organization registered as a hearing and speech in Duluth, Georgia and active in the NPI registry since September 2017. The organization lists Jessie Nelson Willis, Owner, as its authorized official.

NPPES Registry Identity

NPI1053839456
Entity TypeOrganization
Primary Taxonomy261QH0700X
Legal Business NameROGERS BRIDGE PEDIATRIC THERAPY, LLC
Location Address2845 SUMMERCREST LNDuluth, GA 30096
Mailing Address2845 Summercrest LnDuluth, GA 30096-2776 · (478) 454-8889 · Fax (678) 280-6766
Phone(478) 454-8889
Fax(678) 280-6766
Organization SubpartNo
Authorized OfficialJessie Nelson WillisOwner · (478) 454-8889
Enumeration DateSeptember 6, 2017
Last NPPES UpdateJuly 21, 2022
✔ NPI 1053839456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Hearing and SpeechAmbulatory Health Care Facilities
Taxonomy Code261QH0700X
License✔ Licensed in GA · SLP007707
Definition
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.
2845 SUMMERCREST LN, Duluth, GA 30096
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYDNEY NICOLE FLOYD MACF-SLP
Speech-Language Pathologist
2845 SUMMERCREST LN
DULUTH, GA 30096
Gwinnett County (678) 271-6978
DEBRA JORDAN-MCCURDY SLP-CCC
Speech-Language Pathologist
2845 SUMMERCREST LN
DULUTH, GA 30096
Gwinnett County (478) 454-8889
KYLIE ELLINGTON OTR/L
Occupational Therapist
2845 SUMMERCREST LN
DULUTH, GA 30096
Gwinnett County (678) 271-6978

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rogers Bridge Pediatric Therapy, LLC's NPI number?

The NPI number for Rogers Bridge Pediatric Therapy, LLC is 1053839456. It was assigned to this organization in the NPPES registry on September 6, 2017.

Where is Rogers Bridge Pediatric Therapy, LLC located?

Rogers Bridge Pediatric Therapy, LLC is located at 2845 Summercrest Ln, Duluth, GA 30096. The listed phone number is (478) 454-8889.

What is Rogers Bridge Pediatric Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Hearing and Speech, with taxonomy code 261QH0700X.

When was this NPI record last updated?

The NPPES record for Rogers Bridge Pediatric Therapy, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.