NPIMap

Organization Active NPI

A Brighter Avenue LLC

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1467709691
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
A BRIGHTER AVENUE LLC
Practice address
4121 E Valley Auto Dr Ste 100
Mesa, AZ 85206-4631
Phone
(480) 474-4173
Fax
(480) 422-2436
NPI assigned
Aug 7, 2012
Last updated
Mar 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Joni StrickerNPI 1972251759
Title
Owner
Phone
(480) 474-4173

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X AZ
Occupational Therapist 225X00000X AZ
Speech-Language Pathologist 235Z00000X AZ Primary
Behavior Analyst 103K00000X AZ

Addresses

Primary practice location

4121 E Valley Auto Dr Ste 100
Mesa, AZ 85206-4631

Mailing address

4121 E Valley Auto Dr Ste 100
Mesa, AZ 85206-4631
Phone (480) 474-4173

National Provider Directory

National Provider Directory

Locations

4121 E Valley Auto Dr
Ste 100
Mesa, AZ 85206
Phone (480) 474-4173

22719 S Ellsworth Rd
Ste 103
Queen Creek, AZ 85142
Phone (480) 612-0395

Practitioners & affiliated clinicians

Practitioners 7

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": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1467709691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 E VALLEY AUTO DR STE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064631",
            "telephone_number": "480-474-4173",
            "fax_number": "480-422-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 E VALLEY AUTO DR STE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064631",
            "telephone_number": "480-474-4173",
            "fax_number": "480-422-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BRIGHTER AVENUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "STRICKER",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-474-4173"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.