Provider Demographics
NPI:1215239611
Name:BRIGHT BEGINNINGS PHYSICAL THERAPY, INC
Entity type:Organization
Organization Name:BRIGHT BEGINNINGS PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOMIDES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:910-685-2119
Mailing Address - Street 1:7113 OTTAWA CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-7144
Mailing Address - Country:US
Mailing Address - Phone:910-685-2119
Mailing Address - Fax:910-920-9885
Practice Address - Street 1:7113 OTTAWA CT
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-7144
Practice Address - Country:US
Practice Address - Phone:910-685-2119
Practice Address - Fax:910-920-9885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12406225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty