Bright Balanced Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BRIGHT BALANCED THERAPY, LLC

Practice address

202A Lewies Cir
Carbondale, CO 81623-3127

Phone

(970) 729-0387

NPI assigned

Oct 6, 2022

Last updated

Oct 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Willa BonziNPI 1053943035

Title

Founder

Phone

(970) 729-0387

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Willa Bonzi, MOT, OTR/L

  • Occupational Therapist
  • Basalt, CO
  • NPI 1053943035
  NPD Authorized official

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1790400240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202A LEWIES CIR",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816233127",
            "telephone_number": "970-729-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202A LEWIES CIR",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816233127",
            "telephone_number": "970-729-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT BALANCED THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "BONZI",
        "authorized_official_first_name": "WILLA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "970-729-0387"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "202A Lewies Cir",
            "city": "Carbondale",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816233127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dorielle Blankenship, LPCC
• Elmer Bonilla
• Kati Borowski, PTA, LMT
• Jennifer Linnell Bouchet, LCSW
• Jordan Nicole Brazeel
• Angela Brown, PTA
• Brownell Physical Therapy, LLC
• Grace Anne Bruce, CPNP-PC
• Martha Lemen Capobianco, M.A., CCC, SLP
• Carbondale and Rural Fire Protection District

• Occupational Therapist in Carbondale, CO
• Providers in Carbondale, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.