Bright and Early Therapy LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BRIGHT AND EARLY THERAPY LLC

Practice address

4273 Dana St
Pace, FL 32571-2009

Phone

(850) 865-3981

Fax

(866) 675-6298

NPI assigned

Mar 6, 2018

Last updated

Dec 14, 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

Nikki Martin, M.S. CCC-SLPNPI 1104019256

Title

Owner / Ambr

Phone

(850) 865-3981

Specialties & licenses 3

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.

• Nikki Martin, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Pace, FL
  • NPI 1104019256
  Authorized official Same address or phone

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576281600000",
    "number": "1023510997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 DANA ST",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712009",
            "telephone_number": "850-865-3981",
            "fax_number": "866-675-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 DANA ST",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712009",
            "telephone_number": "850-865-3981",
            "fax_number": "866-675-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT AND EARLY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "OWNER / AMBR",
        "authorized_official_telephone_number": "850-865-3981",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Clark Boyd, LMHC
• Lauren Bozeman
• Laura A Bradford, NP-C
• Curtis Brashear
• Wende White Brewer, PHD, LPC, LMHC
• Heather Kathleen Bright, D.O.
• Brooks Chiropractic Clinic, Inc.
• Kinsey Brooks
• Michael C. Brooks, D.C.
• Elisabeth Katherine Brown, ARNP

• Early Intervention Provider Agency in Pace, FL
• Providers in Pace, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.