Bright Beginnings PDC Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

056-006344 Issued in IL

Legal business name

BRIGHT BEGINNINGS PDC INC.

Practice address

586 William Latham Dr
Suite 6a
Bourbonnais, IL 60914-2327

Phone

(815) 932-0381

Fax

(815) 932-0381

NPI assigned

Mar 13, 2008

Last updated

Jun 29, 2010By 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

Mrs. Amanda Joanne Kemnetz, OTR/LNPI 1255495057

Title

Owner/Occupational Therapist

Phone

(815) 932-0381

Specialties & licenses 1

Addresses

Locations

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 Joanne Kemnetz, MOT,OTRL

  • Pediatric Occupational Therapist
  • Bourbonnais, IL
  • NPI 1255495057
  NPD (past) Authorized official

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1023289436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E JOLIET ST",
            "address_2": "SUITE A",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752054",
            "telephone_number": "219-979-2735",
            "fax_number": "219-865-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 WILLIAM LATHAM DR",
            "address_2": "SUITE 6A",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142327",
            "telephone_number": "815-932-0381",
            "fax_number": "815-932-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT BEGINNINGS PDC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "KEMNETZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "815-932-0381",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "IL",
            "license": "056-006344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn Brady
• Brandon Douglas, LCPC, PLLC
• Brent Dunlap OD PC (DRS Long & Dunlap)
• Margaret M. Brent, L.C.P.C.
• Thomas Edward Brezinski, D.D.S.
• Sydney Bright, MS
• Holly Brockman, M.D.
• Dawn R Broers, LCSW
• Brown Boulevard Surgical Suites
• Danyelle L Brown

• Developmental Disabilities Clinic/Center in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Developmental Disabilities Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.