OrganizationActive
Shine Bright OT LLC
NPI 1619835329 · Occupational Therapist · Beaumont, TX
Provider details
- NPI number
- 1619835329
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Aeris Broussard, Owner(409) 455-3691
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5350 Heatherwood Dr
Beaumont, TX 77706-6846
Phone: (409) 455-3691
Fax: (409) 359-2790
Street-level locationGet directions
Mailing address
5350 Heatherwood Dr
Beaumont, TX 77706-6846
Registry dates
- Enumerated
- 2026-01-12
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.