Brain Training Center of the Treasure Coast

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME004325 Issued in FL

Legal business name

BRAIN TRAINING CENTER OF THE TREASURE COAST

Practice address

499 NW Prima Vista Blvd
Suite 101
Port Saint Lucie, FL 34983-8786

Phone

(772) 408-0096

Fax

(772) 408-8167

NPI assigned

Mar 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Melaine Rankin, M.D.

Title

President

Phone

(772) 408-0096

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1326362179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 NW PRIMA VISTA BLVD",
            "address_2": "SUITE 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349838786",
            "telephone_number": "772-408-0096",
            "fax_number": "772-408-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 NW PRIMA VISTA BLVD",
            "address_2": "SUITE 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349838786",
            "telephone_number": "772-408-0096",
            "fax_number": "772-408-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN TRAINING CENTER OF THE TREASURE COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-408-0096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME004325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1720012438",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Bozzo, MASSAGE THERAPIST
• Wayne Alan Brack, LMT, NCMTB
• Latoya D Bradley
• Katrina Noel Bragan, PA
• Heather Bragg
• Marsia Brana, LMT
• Theresa Brannigan
• Gina Brasfield, DOULA
• Brady Bravo
• Dorothy J Bree, CNM

• Clinic/Center in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.