Provider Demographics
NPI:1356133276
Name:STARBRIGHT OCCUPATIONAL THERAPY LLC
Entity type:Organization
Organization Name:STARBRIGHT OCCUPATIONAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELONEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:305-407-6939
Mailing Address - Street 1:393 LAGUNA AVE
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-4340
Mailing Address - Country:US
Mailing Address - Phone:305-407-6939
Mailing Address - Fax:305-451-1598
Practice Address - Street 1:393 LAGUNA AVE
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-4340
Practice Address - Country:US
Practice Address - Phone:305-407-6939
Practice Address - Fax:305-451-1598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty