NPIMap

Organization Active NPI

Bright Start

Doing business as D/B/A Bright Start

  • Pediatric Occupational Therapist
  • Covington, GA
National Provider Identifier
1366976490
Registry record updated Apr 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT005939 Issued in GA
Legal business name
BRIGHT START
Doing business as
D/B/A Bright Start
Practice address
50 Glengarry Chase
Covington, GA 30014-8913
Phone
(484) 942-8912
NPI assigned
Apr 15, 2017
Last updated
Apr 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2017

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

Authorized official

Name
Mrs. Rebecca Lynn Lee, OTR/LNPI 1366623944
Title
Occupational Therapist
Phone
(484) 942-8912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT005939 GA Primary

Addresses

Primary practice location

50 Glengarry Chase
Covington, GA 30014-8913

Mailing address

50 Glengarry Chase
Covington, GA 30014-8913
Phone (484) 942-8912

Other identifiers 1

IdentifierTypeStateIssuer
003151587BMedicaidGA

Other names 1

  • D/B/A Bright Start Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1492214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492214400000",
    "number": "1366976490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GLENGARRY CHASE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300148913",
            "telephone_number": "484-942-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLENGARRY CHASE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300148913",
            "telephone_number": "484-942-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT START",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-15",
        "last_updated": "2017-04-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "484-942-8912",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT005939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003151587B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A Bright Start",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2017; 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.