NPIMap

Organization Active NPI

Brighter Futures Therapeutic Learning Center

  • Pediatric Occupational Therapist
  • Modesto, CA
National Provider Identifier
1417280892
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 5534 Issued in CA
Legal business name
BRIGHTER FUTURES THERAPEUTIC LEARNING CENTER
Practice address
4715 Yosemite Boulevard
Modesto, CA 95357
Phone
(209) 574-9707
Fax
(209) 574-9587
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Lucinda Leann Anderson, OTR
Title
Owner/Occupational Therapist
Phone
(209) 574-9707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X OT 5534 CA Primary

Addresses

Primary practice location

4715 Yosemite Boulevard
Modesto, CA 95357

Mailing address

PO Box 1396
Empire, CA 95319-1396
Phone (209) 574-9707

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.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1417280892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1396",
            "city": "EMPIRE",
            "state": "CA",
            "postal_code": "953191396",
            "telephone_number": "209-574-9707",
            "fax_number": "209-574-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 YOSEMITE BOULEVARD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95357",
            "telephone_number": "209-574-9707",
            "fax_number": "209-574-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER FUTURES THERAPEUTIC LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "209-574-9707",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT 5534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.