Organization Active NPI

Brighter Day Theraplay LLC

  • Pediatric Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1376620518
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4329 Issued in NC
Legal business name
BRIGHTER DAY THERAPLAY LLC
Practice address
7950 Nations Ford Rd
Suite B4
Charlotte, NC 28217-8014
Phone
(704) 452-0245
Fax
(704) 561-0850
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Jahzara Isra, MA, OTR/L
Title
Director of Clinical Services
Phone
(704) 248-1474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 9759 NC
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 4329 NC Primary

Addresses

Primary practice location

7950 Nations Ford Rd
Suite B4
Charlotte, NC 28217-8014

Mailing address

7209 E WT Harris Blvd Ste J
#134
Charlotte, NC 28227-1004
Phone (704) 452-0245

Other identifiers 1

IdentifierTypeStateIssuer
7212077MedicaidNC

National Provider Directory

National Provider Directory

Locations

7950 Nations Ford Rd
Ste B4
Charlotte, NC 28217
Phone (704) 452-0245

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1376620518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 E WT HARRIS BLVD STE J",
            "address_2": "#134",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282271004",
            "telephone_number": "704-452-0245",
            "fax_number": "704-561-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 NATIONS FORD RD",
            "address_2": "SUITE B4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282178014",
            "telephone_number": "704-452-0245",
            "fax_number": "704-561-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER DAY THERAPLAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "ISRA",
        "authorized_official_first_name": "JAHZARA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "704-248-1474",
        "authorized_official_credential": "MA, OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "9759",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "4329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.