Active NPI
Bright Star Therapy L.L.C.
- Pediatric Occupational Therapist
- Warren, NJ
National Provider Identifier
1578849378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- 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, 2014
- 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
- Ms. Sheri Haiken, SLP
- Title
- Owner
- Phone
- (732) 667-7778
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.