Healthcare Provider Details

I. General information

NPI: 1831010156
Provider Name (Legal Business Name): BEGIN BRIGHT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 W BLACKHAWK ST # 202
CHICAGO IL
60642-2307
US

IV. Provider business mailing address

1436 W BLACKHAWK ST # 202
CHICAGO IL
60642-2307
US

V. Phone/Fax

Practice location:
  • Phone: 651-964-9936
  • Fax:
Mailing address:
  • Phone: 651-964-9936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ANNA STOVER
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: MOT OTR/L
Phone: 651-964-9936