Active NPI
Mindful Breastfeeding, LLC
- Physical Therapy Clinic/Center
- Wethersfield, CT
National Provider Identifier
1053079301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MINDFUL BREASTFEEDING, LLC
- Practice address
- 75 Albert Ave
Wethersfield, CT 06109-1003 - Phone
- (860) 266-7745
- NPI assigned
- Dec 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Beata Lidia Harasim, PT, DPT, FAAOMPT
- Title
- Founder, Ceo
- Phone
- (860) 833-4606
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
75 Albert Ave
Wethersfield, CT 06109-1003
Mailing address
75 Albert Ave
Wethersfield, CT 06109-1003
Phone (860) 266-7745
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- West Springfield, MA
- NPI 1225399926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1053079301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 ALBERT AVE",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061091003",
"telephone_number": "860-266-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 ALBERT AVE",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061091003",
"telephone_number": "860-266-7745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL BREASTFEEDING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-03",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A",
"authorized_official_last_name": "HARASIM",
"authorized_official_first_name": "BEATA",
"authorized_official_middle_name": "LIDIA",
"authorized_official_title_or_position": "FOUNDER, CEO",
"authorized_official_telephone_number": "860-833-4606",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT, FAAOMPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.