NPIMap

Organization Active NPI

Bright Life Therapies LLC

  • Speech-Language Pathologist
  • Ada, MI
National Provider Identifier
1689115040
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101002288 Issued in MI
Legal business name
BRIGHT LIFE THERAPIES LLC
Practice address
7690 Candlewood Dr
Ada, MI 49301
Phone
(616) 430-0673
NPI assigned
Mar 17, 2017
Last updated
May 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Sarah A Baar, CCC-SLPNPI 1336492735
Title
Owner
Phone
(616) 797-8005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 5501015095 MI
Speech-Language Pathologist 235Z00000X 7101002288 MI Primary
Environmental Modification Occupational Therapist 225XE0001X 5201002221 MI

Addresses

Primary practice location

7690 Candlewood Dr
Ada, MI 49301

Mailing address

7690 Candlewood Dr.
Ada, MI 49301
Phone (616) 430-0673

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, 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": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1689115040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7690 CANDLEWOOD DR.",
            "city": "ADA",
            "state": "MI",
            "postal_code": "49301",
            "telephone_number": "616-430-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7690 CANDLEWOOD DR",
            "city": "ADA",
            "state": "MI",
            "postal_code": "49301",
            "telephone_number": "616-430-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIFE THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "BAAR",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-797-8005",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MI",
            "license": "5501015095",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101002288",
            "primary": true
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "MI",
            "license": "5201002221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.