Bright Horizons Pediatric Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2010025352 Issued in MO

Legal business name

BRIGHT HORIZONS PEDIATRIC THERAPY LLC

Practice address

411 Country Downs Dr
Lake Saint Louis, MO 63367-4310

Phone

(314) 541-7938

NPI assigned

Mar 25, 2015

Last updated

Jul 17, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda FullertonNPI 1255625711

Title

Owner/Occupational Therapist

Phone

(314) 541-7938

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Fullerton, MOT, OTR/L

  • Occupational Therapist
  • O'Fallon, MO
  • NPI 1255625711
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1003200254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 COUNTRY DOWNS DR",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633674310",
            "telephone_number": "314-541-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 COUNTRY DOWNS DR",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633674310",
            "telephone_number": "314-541-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HORIZONS PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "FULLERTON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "314-541-7938"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2010025352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kieara Bond, RN
• Borello Orthodontics
• Blake Borello, D.D.S., M.S.
• Brain to Behavior LLC
• Michelle Lynn Breneman, PNP
• By Word and Deed LLC
• Samantha Callahan, LPC
• Marie Erin Carmi, MA LPC
• Cara Ann Carrothers Peroutka, LPC
• Alison Mary Chaney, R.D., L.D.

• Pediatric Occupational Therapist in Lake Saint Louis, MO
• Providers in Lake Saint Louis, MO by specialty
• Pediatric Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.