MEDICARE: BRIGHT STAR PEDIATRIC THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist
3	103K00000X	Behavior Analyst
4	225100000X	Physical Therapist
5	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1154147759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT STAR PEDIATRIC THERAPY LLC

Provider Business Mailing Address
First Line	:	710 NW 38TH ST
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33309-5064
Country	:	US
Telephone Number	:	954-966-5202
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 NW 38TH ST
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33309
Country	:	US
Telephone Number	:	954-966-5202
Fax Number	:	786-601-6775

Authorized Official
Title or Position	:	OWNER
Name	:	ARIANA MILIAN
Credential	:	M.S., CCC-SLP
Telephone Number	:	954-966-5202

Provider Enumeration Date	:	11/27/2024
Last Update Date	:	01/30/2026

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Directions to “BRIGHT STAR PEDIATRIC THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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