Bright Star Therapy Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BRIGHT STAR THERAPY INC

Practice address

1500 1St Ave NE Ste 100
Rochester, MN 55906-4170

Phone

(612) 990-8631

Fax

(612) 886-2618

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Abdirahman Mohamed Sr.

Title

Owner

Phone

(612) 990-8631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1174129340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE NE STE 100",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064170",
            "telephone_number": "612-990-8631",
            "fax_number": "612-886-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE NE STE 100",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064170",
            "telephone_number": "612-990-8631",
            "fax_number": "612-886-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT STAR THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-990-8631",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Briggs, PHD, NCC, LPC
• Jeremy William Briggs, PA-C
• Morgan R Briggs, MD
• Emily Brigham, CNP
• Bright Future (Irts) L. L. C.
• Opeoluwa Samuel Bright
• Rachel Fisher Bright
• Waleed Brinjikji, M.D.
• Ann Marie Brink, RN, CRNA
• Gary Jerome Brink, LMFT

• Early Intervention Provider Agency in Rochester, MN
• Providers in Rochester, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.