OrganizationActive
Fbtc Transitional Sub, LLC
NPI 1255149746 · Developmental Disabilities Clinic/Center · Rincon, GA
Provider details
- NPI number
- 1255149746
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp& Sr Asst General Counsel(952) 836-2234
Specialties & taxonomies
Ambulatory Health Care Facilities
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Hearing and Speech Clinic/Center261QH0700X
Ambulatory Health Care Facilities
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Practice location
806 Towne Park Dr
Rincon, GA 31326-9368
Phone: (800) 388-5150
Approximate (ZIP-level) locationGet directions
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Other names (DBA / former)
- Doing business as
- Bright Light
Registry dates
- Enumerated
- 2024-12-30
- Last updated
- 2026-06-06
- Certified
- 2026-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.