NPIMap

Organization Active NPI

Brightstart Pediatrics, LLC

  • Rehabilitation Clinic/Center
  • Sanford, FL
National Provider Identifier
1457545725
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
BRIGHTSTART PEDIATRICS, LLC
Practice address
1133 W Airport Blvd
Sanford, FL 32773-4972
Phone
(407) 321-9570
Fax
(407) 321-9571
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Ms. Linda Catherine Brown, MBA, OTR/L
Title
Program Director
Phone
(407) 321-9570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1133 W Airport Blvd
Sanford, FL 32773-4972

Mailing address

12377 S Orange Blossom TRL
Orlando, FL 32837-6215
Phone (407) 857-1212

Other names 1

  • BrightStart Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brightstart Pediatrics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1457545725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376215",
            "telephone_number": "407-857-1212",
            "fax_number": "407-857-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 W AIRPORT BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327734972",
            "telephone_number": "407-321-9570",
            "fax_number": "407-321-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTART PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "407-321-9570",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStart Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.