Organization
HOPEBRIDGE, LLC
Active
Parent organization
HOPEBRIDGE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPEBRIDGE, LLC
Authorized official
ANGIE GRAFF (INSURANCE & CREDENTIALING MANAGER)
(317) 376-8336
Entity
Organization
Contact information
Practice address
2904 FOLTZ DR, EDGEWOOD, KY 41017-2525
(859) 795-3000
(765) 450-6664
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100553920
—
KY
Enumeration date
02/16/2018
Last updated
10/02/2018
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