Active NPI
Shine Bright Occupational Therapy, LLC
- Occupational Therapist
- Huntsville, AL
National Provider Identifier
1962389296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- SHINE BRIGHT OCCUPATIONAL THERAPY, LLC
- Practice address
- 2006 Franklin St SE Ste 209
Huntsville, AL 35801-4537 - Phone
- (256) 203-6698
- NPI assigned
- Aug 19, 2025
- 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
- Destiny Jackson, OTR/L
- Title
- Otr/L, Owner
- Phone
- (256) 898-5940
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
2006 Franklin St SE Ste 209
Huntsville, AL 35801-4537
Mailing address
268 John Harold Dr
Meridianville, AL 35759-5404
Phone (256) 898-5940
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Huntsville, AL
- NPI 1154074961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755561600000",
"number": "1962389296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 JOHN HAROLD DR",
"city": "MERIDIANVILLE",
"state": "AL",
"postal_code": "357595404",
"telephone_number": "256-898-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 FRANKLIN ST SE STE 209",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014537",
"telephone_number": "256-203-6698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHINE BRIGHT OCCUPATIONAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "DESTINY",
"authorized_official_title_or_position": "OTR/L, OWNER",
"authorized_official_telephone_number": "256-898-5940",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.