Organization Active NPI

Bright Star Therapy L.L.C.

  • Pediatric Occupational Therapist
  • Warren, NJ
National Provider Identifier
1578849378
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
BRIGHT STAR THERAPY L.L.C.
Practice address
266 King George Rd
Warren, NJ 07059-5120
Phone
(732) 667-7778
Fax
(732) 667-7780
NPI assigned
Oct 25, 2011
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Ms. Sheri Haiken, SLP
Title
Owner
Phone
(732) 667-7778

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00357300 NJ
Physical Therapist 225100000X 40QA00819800 NJ
Pediatric Physical Therapist 2251P0200X NU
Occupational Therapist 225X00000X 46TR00249600 NJ
Pediatric Occupational Therapist 225XP0200X 46TR00249600 NJ
Pediatric Occupational Therapist 225XP0200X NU Primary
Speech-Language Pathologist 235Z00000X NU
Speech-Language Pathologist 235Z00000X 41YS00259000 NJ

Addresses

Primary practice location

266 King George Rd
Warren, NJ 07059-5120

Mailing address

266 King George Rd
Warren, NJ 07059-5120
Phone (732) 667-7778

National Provider Directory

National Provider Directory

Locations

266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1578849378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 KING GEORGE RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595120",
            "telephone_number": "732-667-7778",
            "fax_number": "732-667-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 KING GEORGE RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595120",
            "telephone_number": "732-667-7778",
            "fax_number": "732-667-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT STAR THERAPY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "HAIKEN",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-667-7778",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00357300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00819800",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00249600",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00249600",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00259000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.