Active NPI
Brighter Day Theraplay LLC
- Pediatric Occupational Therapist
- Charlotte, NC
National Provider Identifier
1376620518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 4329
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 9759 | NC | |
| Pediatric Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7212077 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.