Organization Active NPI

Brainwaves Rehabilitation LLC

  • Home Health Agency
  • Palmetto Bay, FL
National Provider Identifier
1013696574
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRAINWAVES REHABILITATION LLC
Practice address
9220 SW 167TH Ter
Palmetto Bay, FL 33157-3434
Phone
(305) 450-9273
NPI assigned
Jul 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yahaira Colon, M.S., CCC-SLPNPI 1811279409
Title
Owner
Phone
(305) 450-9273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9220 SW 167TH Ter
Palmetto Bay, FL 33157-3434

Mailing address

9220 SW 167TH Ter
Palmetto Bay, FL 33157-3434
Phone (305) 450-9273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240919002250 FL Part B Supplier - Clinic/Group Practice 1456892215 Receives reassigned benefits from 1 practitioner
Practice locations: Palmetto Bay, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1013696574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 SW 167TH TER",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331573434",
            "telephone_number": "305-450-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 SW 167TH TER",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331573434",
            "telephone_number": "305-450-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINWAVES REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "YAHAIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-450-9273",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.