A Focused Brain LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OT2806 Issued in MS

Legal business name

A FOCUSED BRAIN LLC

Practice address

7712 Old Canton Rd
Madison, MS 39110-9299

Phone

(601) 427-5775

NPI assigned

Dec 31, 2015

Last updated

Dec 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Poe

Title

Office Manager

Phone

(601) 427-5775

Specialties & licenses 1

Addresses

Tax ID family

A Focused Brain LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• A Focused Brain, LLC

  • Occupational Therapist
  • Ridgeland, MS
  • NPI 1508125899
  NPD tax ID

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1184080426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 MEADOWRIDGE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065912",
            "telephone_number": "601-259-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 OLD CANTON RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109299",
            "telephone_number": "601-427-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FOCUSED BRAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-427-5775"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MS",
            "license": "OT2806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 2083 Therapy, LLC (2083 Therapy of Madison)
• Acorn Counseling LLC
• Active Life Physical Therapy
• Clifford C Adams III, M.D.
• Advanced Interventional Specialist PLLC
• Christy Ainsworth, LCSW

• Rehabilitation Clinic/Center in Madison, MS
• Providers in Madison, MS by specialty
• Rehabilitation Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.