Active NPI
Bright Life Therapy Inc.
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1972744928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- OC009582
- Legal business name
- BRIGHT LIFE THERAPY INC.
- Practice address
- 2032 S Frazier St
Philadelphia, PA 19143-5618 - Phone
- (267) 736-9099
- Fax
- (186) 647-2140
- NPI assigned
- Mar 19, 2009
- 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
- Misty Bullock, OTR/L
- Title
- Owner
- Phone
- (267) 736-9099
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | OC009582 | PA | Primary |
Addresses
Primary practice location
2032 S Frazier St
Philadelphia, PA 19143-5618
Mailing address
2032 S Frazier St
Philadelphia, PA 19143-5618
Phone (267) 736-9099
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Philadelphia, PA
- NPI 1639354335
-
- Physical Therapist
- Plymouth Meeting, PA
- NPI 1750566212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237420800000",
"number": "1972744928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032 S FRAZIER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191435618",
"telephone_number": "267-736-9099",
"fax_number": "186-647-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032 S FRAZIER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191435618",
"telephone_number": "267-736-9099",
"fax_number": "186-647-2140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT LIFE THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-19",
"last_updated": "2009-03-19",
"status": "A",
"authorized_official_last_name": "BULLOCK",
"authorized_official_first_name": "MISTY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-736-9099",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "OC009582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Tansy Madrone Briggs, D.O.M., L.OM
- Nicole Dianne Brigham, RDN, LDN
- Bright Beginnings Therapeutic Services, LLC
- Bright Choice Dentistry LP
- Bright Life Senior Care of PA LLC
- Bright Minds Consultation Inc
- Bright Pathways ABA LLC
- Bright Smile Dental Care PC
- Bright Steps Enterprises
- Christy J. Bright, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.