Individual provider Active NPI

Nikki Susan Bright, OT, R/L

  • Occupational Therapist
  • Lexington, KY
National Provider Identifier
1720256654
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
131484 Issued in KY
Practice address
3051 Rio Dosa Dr
Lexington, KY 40509-1545
Phone
(859) 381-7620
Fax
(859) 407-4696
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R1354 KY
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 131484 KY Primary

Addresses

Primary practice location

3051 Rio Dosa Dr
Lexington, KY 40509-1545

Mailing address

1209 Glen CRST
Lexington, KY 40502-2800
Phone (859) 381-7620

Other practice location 1

100 Professional Dr
Suite 4
London, KY 40741-8844
Phone (606) 877-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131484KYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1720256654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 GLEN CRST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022800",
            "telephone_number": "859-381-7620",
            "fax_number": "859-407-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 RIO DOSA DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091545",
            "telephone_number": "859-381-7620",
            "fax_number": "859-407-4696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Professional Dr",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407418844",
            "country_code": "US",
            "telephone_number": "606-877-5050",
            "fax_number": "606-877-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "NIKKI",
        "middle_name": "SUSAN",
        "credential": "OT, R/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R1354",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "131484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.