Brilliant Therapies LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BRILLIANT THERAPIES LLC

Practice address

14 Old State Rd S
Lake George, NY 12845-5914

Phone

(518) 260-0716

NPI assigned

Jul 22, 2015

Last updated

Aug 14, 2015By 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

Dorothy Grover, PT

Title

Program Director

Phone

(518) 260-0716

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1053796813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OLD STATE RD S",
            "city": "LAKE GEORGE",
            "state": "NY",
            "postal_code": "128455914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OLD STATE RD S",
            "city": "LAKE GEORGE",
            "state": "NY",
            "postal_code": "128455914",
            "telephone_number": "518-260-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "518-260-0716",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard R. Aulicino, D.M.D.
• Joyce A Azukas, LMT
• Cheryl Lynne Bellizzi-Sharron
• Yvonne Sandra Beuerman, MS OTR/L
• Monique S Boulet, RD
• Jennifer Bull, LMSW
• Mitchell A Cohen, DDS
• Annette Maria Crawford, MSW,LCSW
• Nicole Ann Domino, R.N.
• Lindsay Farrar, LMHC

• Early Intervention Provider Agency in Lake George, NY
• Providers in Lake George, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.