Bright Spot Pediatric Therapy Llc

LBN: Bright Spot Pediatric Therapy Llc
Bright Spot Pediatric Therapy Llc is an health care organization with primary practice located at 1425 N Killingsworth St , Portland OR 97217-4541. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty. Bright Spot Pediatric Therapy Llc can be contacted via phone (503) 575-9402, or through Moskal, Ryan via phone (503) 850-8154.

Contact Information

Primary practice address
1425 N Killingsworth St Portland OR 97217-4541
Phone: (503) 575-9402
Fax: (888) 769-4431
Website:
Map and Directions
Authorized official contact:
Name: Moskal, Ryan
Phone: (503) 850-8154

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 1042968 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1033649694
LBN Legal business name Bright Spot Pediatric Therapy Llc
DBA Doing business as
Authorized official Moskal, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2017
Last updated Jan 3rd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033649694 NPPES
Oregon MEDICAID 500796699

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