Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bright Spark Therapy

Organization Pediatric Physical Therapist · NPI 1104567494

Bright Spark Therapy is a Pediatric Physical Therapist in Orange Park, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

3837 Cardinal Oaks Cir
Orange Park, FL 32065-4251
Phone: (904) 601-2079
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1104567494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Werner — Speech Language Pathologist · (904) 601-2079
NPI enumeratedApril 2, 2022
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022
Mailing address3837 Cardinal Oaks Cir, Orange Park, FL 32065-4251

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