Organization Active NPI

Brain Function Optimization, LLC

  • Speech-Language Pathologist
  • Parker, CO
National Provider Identifier
1134490113
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BRAIN FUNCTION OPTIMIZATION, LLC
Practice address
5562 Rim View PL
Parker, CO 80134-4534
Phone
(303) 522-9685
NPI assigned
Jan 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Mr. Torsten Christoph Jess, M.S.CCC-SLP.CS
Title
President
Phone
(303) 522-9685

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X Primary
Rehabilitation Hospital Unit 273Y00000X 2307 CO

Addresses

Primary practice location

5562 Rim View PL
Parker, CO 80134-4534

Mailing address

5562 Rim View PL
Parker, CO 80134-4534
Phone (303) 522-9685

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1134490113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5562 RIM VIEW PL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344534",
            "telephone_number": "303-522-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5562 RIM VIEW PL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344534",
            "telephone_number": "303-522-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN FUNCTION OPTIMIZATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "JESS",
        "authorized_official_first_name": "TORSTEN",
        "authorized_official_middle_name": "CHRISTOPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-522-9685",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.CCC-SLP.CS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CO",
            "license": "2307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.