Active NPI
Brightside Therapy, LLC.
- Speech-Language Pathologist
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- BRIGHTSIDE THERAPY, LLC.
- Practice address
- 7512 Cypress Gardens Blvd
Winter Haven, FL 33884-3200 - Phone
- (321) 337-6243
- Fax
- (352) 717-6829
- NPI assigned
- May 14, 2021
- Last updated
- Dec 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isabella Martinez
- Title
- Speech Language Pathologist
- Phone
- (321) 337-6243
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
7512 Cypress Gardens Blvd
Winter Haven, FL 33884-3200
Mailing address
7512 Cypress Gardens Blvd
Winter Haven, FL 33884-3200
Other practice location 1
501 E Main St Ste 4
Haines City, FL 33844-4244
Phone (407) 452-9651
Other practice location 2
535 Aster Dr
Davenport, FL 33897-3814
Phone (321) 337-6243
National Provider Directory
National Provider DirectoryLocations
501 E Main St
Ste 4
Haines City, FL 33844
Phone (407) 452-9651
Practitioners & affiliated clinicians
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.
-
- Speech-Language Pathologist
- Winter Haven, FL
- NPI 1679165617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1174197073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7512 CYPRESS GARDENS BLVD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338843200",
"fax_number": "352-717-6829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7512 CYPRESS GARDENS BLVD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338843200",
"telephone_number": "321-337-6243",
"fax_number": "352-717-6829"
}
],
"practiceLocations": [
{
"address_1": "501 E Main St Ste 4",
"address_purpose": "LOCATION",
"city": "Haines City",
"state": "FL",
"postal_code": "338444244",
"country_code": "US",
"telephone_number": "407-452-9651",
"fax_number": "352-717-6829",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "535 Aster Dr",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "FL",
"postal_code": "338973814",
"country_code": "US",
"telephone_number": "321-337-6243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRIGHTSIDE THERAPY, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-14",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "ISABELLA",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "321-337-6243"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.