Bright Minds Pediatric Therapy LLC.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BRIGHT MINDS PEDIATRIC THERAPY LLC.

Practice address

4097 Sussex Ave
Lake Worth, FL 33461-1719

Phone

(786) 537-5904

NPI assigned

Apr 24, 2022

Last updated

Aug 24, 2022By 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

Noleys GomezNPI 1841834736

Title

Owner

Phone

(786) 537-5904

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Noleys Gomez

  • Developmental Therapist
  • Lake Worth, FL
  • NPI 1841834736
  NPD Authorized official

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

{
    "created_epoch": "1650758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1275277469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4097 SUSSEX AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334611719",
            "telephone_number": "786-537-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4097 SUSSEX AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334611719",
            "telephone_number": "786-537-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT MINDS PEDIATRIC THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "NOLEYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-537-5904"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841834736",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Brevil, APRN
• Stevon Brewster
• Bridge of Care LLC
• Geralde St Surin Bridges
• Bright Futures Behavior Analysis Inc
• Brightlife Institute, LLC (Bright Life Institute)
• Anisleidy Brito Chacon
• Rene Brito Perez
• Matthew Q Bromer, DO
• Peter Robert Bronstein, ARNP, LMHC

• Early Intervention Provider Agency in Lake Worth, FL
• Providers in Lake Worth, 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 Aug 24, 2022; 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.