NPIMap

Organization Active NPI

Brain Reintegration Center LLC

Doing business as Brain Reintegration Center

  • Clinic/Center
  • Paonia, CO
National Provider Identifier
1285248138
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BRAIN REINTEGRATION CENTER LLC
Doing business as
Brain Reintegration Center
Practice address
225 Minnesota Ave
Paonia, CO 81428-8503
Phone
(541) 647-0644
NPI assigned
Sep 8, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Amber Lee Fisher Trout, LAC
Title
Owner
Phone
(541) 647-0655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

225 Minnesota Ave
Paonia, CO 81428-8503

Mailing address

PO Box 1081
Paonia, CO 81428-1081
Phone (541) 647-0655

Other names 1

  • Brain Reintegration Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brain Reintegration Center2 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.

Locations

225 Minnesota Ave
Paonia, CO 81428
Phone (970) 527-4103

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1285248138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "city": "PAONIA",
            "state": "CO",
            "postal_code": "814281081",
            "telephone_number": "541-647-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MINNESOTA AVE",
            "city": "PAONIA",
            "state": "CO",
            "postal_code": "814288503",
            "telephone_number": "541-647-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN REINTEGRATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "TROUT",
        "authorized_official_first_name": "AMBER LEE",
        "authorized_official_middle_name": "FISHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-647-0655",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Reintegration Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paonia, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.