Organization Active NPI

Mindful Breastfeeding, LLC

  • Physical Therapy Clinic/Center
  • Wethersfield, CT
National Provider Identifier
1053079301
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Jun 18, 2024

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, FAAOMPTNPI 1225399926
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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.