NPIMap

Organization Active NPI

Bright Start PT PLLC

  • Physical Therapist
  • Coral Springs, FL
National Provider Identifier
1750038360
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BRIGHT START PT PLLC
Practice address
9900 W Sample Rd Ste 405-3
Coral Springs, FL 33065-4048
Phone
(347) 739-4583
NPI assigned
Mar 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Boris Dolub, PTNPI 1063556462
Title
Ceo
Phone
(347) 739-4583

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9900 W Sample Rd Ste 405-3
Coral Springs, FL 33065-4048

Mailing address

166 Beach 127TH St
Belle Harbor, NY 11694-1727
Phone (347) 739-4583

Other names 1

  • BRIGHT START KIDS Doing business as

National Provider Directory

National Provider Directory

Locations

9900 W Sample Rd
Ste 4053
Coral Springs, FL 33065
Phone (347) 739-4583

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1750038360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BEACH 127TH ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941727",
            "telephone_number": "347-739-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 W SAMPLE RD STE 405-3",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654048",
            "telephone_number": "347-739-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT START PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "DOLUB",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-739-4583",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHT START KIDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.