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BRIDGE TO BRILLIANCE THERAPY LLC
NPI 1114707700
Early Intervention Provider Agency in Burnsville, MN

Active since October 02, 2023
13740 NICOLLET AVE, BURNSVILLE, MN 55337(612) 987-3455 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridge To Brilliance Therapy Llc NPPES

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

BRIDGE TO BRILLIANCE THERAPY LLC (NPI 1114707700) is a healthcare organization registered as an early intervention provider agency in Burnsville, Minnesota and active in the NPI registry since October 2023. The organization lists Anisa Mohamed Ahmed, Owner, as its authorized official.

NPPES Registry Identity

NPI1114707700
Entity TypeOrganization
Primary Taxonomy252Y00000X
Legal Business NameBRIDGE TO BRILLIANCE THERAPY LLC
Location Address13740 NICOLLET AVEBurnsville, MN 55337-4003
Mailing Address7764 Oakridge TrlShakopee, MN 55379-5509 · (612) 987-3455
Phone(612) 987-3455
Organization SubpartNo
Authorized OfficialAnisa Mohamed AhmedOwner · (612) 987-3455
Enumeration DateOctober 2, 2023
NPPES CertifiedOctober 2, 2023
✔ NPI 1114707700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies
Taxonomy Code252Y00000X
Definition
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
13740 NICOLLET AVE, Burnsville, MN 55337
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Other Identifiers 1

Medicaid1093450918MN

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 Bridge To Brilliance Therapy LLC's NPI number?

The NPI number for Bridge To Brilliance Therapy LLC is 1114707700. It was assigned to this organization in the NPPES registry on October 2, 2023.

Where is Bridge To Brilliance Therapy LLC located?

Bridge To Brilliance Therapy LLC is located at 13740 Nicollet Ave, Burnsville, MN 55337. The listed phone number is (612) 987-3455.

What is Bridge To Brilliance Therapy LLC's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

When was this NPI record last updated?

The NPPES record for Bridge To Brilliance Therapy LLC was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.