Organization Active NPI

The Mobile Brain, LLC

  • Occupational Therapist
  • Rockville, MD
National Provider Identifier
1346823747
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
THE MOBILE BRAIN, LLC
Practice address
203 Nimitz Ave
Rockville, MD 20851-1168
Phone
(240) 839-1454
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

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

Authorized official

Name
Katherine Grace Reyes, OTD,OTR/L,CSRS,CNS
Title
Owner
Phone
(240) 839-1454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

203 Nimitz Ave
Rockville, MD 20851-1168

Mailing address

203 Nimitz Ave
Rockville, MD 20851-1168
Phone (240) 839-1454

Other identifiers 1

IdentifierTypeStateIssuer
516013800MedicaidMD

National Provider Directory

National Provider Directory

Locations

11140 Rockville Pike
Ste 1001206
Rockville, MD 20852
Phone (240) 468-7816

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781395200000",
    "number": "1346823747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NIMITZ AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511168",
            "telephone_number": "240-839-1454",
            "fax_number": "240-399-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NIMITZ AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511168",
            "telephone_number": "240-839-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOBILE BRAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "KATHERINE GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-839-1454",
        "authorized_official_credential": "OTD,OTR/L,CSRS,CNS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516013800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; 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.