Healthcare Provider Details

I. General information

NPI: 1770469595
Provider Name (Legal Business Name): BRIGHT ABILITIES THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 E 52ND PL
HIALEAH FL
33013-1453
US

IV. Provider business mailing address

159 E 52ND PL
HIALEAH FL
33013-1453
US

V. Phone/Fax

Practice location:
  • Phone: 786-307-6607
  • Fax:
Mailing address:
  • Phone: 786-307-6607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: BARBARA M LOPEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-307-6607