Organization Active NPI

Brain Elevations Therapy, LLC

  • Low Vision Occupational Therapist
  • Pleasant Hope, MO
National Provider Identifier
1629884713
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
Legal business name
BRAIN ELEVATIONS THERAPY, LLC
Practice address
5419 S 192ND Rd
Pleasant Hope, MO 65725-9185
Phone
(417) 695-4660
NPI assigned
Dec 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dana Gifford, OTDNPI 1982335337
Title
Owner
Phone
(417) 274-4292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XL0004X Primary

Addresses

Primary practice location

5419 S 192ND Rd
Pleasant Hope, MO 65725-9185

Mailing address

5419 S 192ND Rd
Pleasant Hope, MO 65725-9185
Phone (417) 695-4660

Other practice location 1

4145 S McCann Ct Ste D
Springfield, MO 65804-7232
Phone (417) 598-0168

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1629884713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 S 192ND RD",
            "city": "PLEASANT HOPE",
            "state": "MO",
            "postal_code": "657259185",
            "telephone_number": "417-695-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 S 192ND RD",
            "city": "PLEASANT HOPE",
            "state": "MO",
            "postal_code": "657259185",
            "telephone_number": "417-695-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4145 S McCann Ct Ste D",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658047232",
            "country_code": "US",
            "telephone_number": "417-598-0168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAIN ELEVATIONS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-274-4292",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hope, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.