Brain Injury Specialists-Physical Injury Specialists Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BRAIN INJURY SPECIALISTS-PHYSICAL INJURY SPECIALISTS INC.

Practice address

66 Encinal PL
Ventura, CA 93001-3316

Phone

(805) 643-0123

Fax

(805) 643-0114

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Ann Vincelette, M.P.T.

Title

Clinical Director

Phone

(805) 643-0123

Specialties & licenses 1

Addresses

Other names 1

• Physical Injury Specialists Other name

Locations

Practitioners 1

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

• Nancy Porcella, M.A. SPEECH PATH

  • Speech-Language Pathologist
  • Ventura, CA
  • NPI 1629295654
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1639217508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746F S VICTORIA AVE # 356",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036592",
            "telephone_number": "805-643-0123",
            "fax_number": "805-643-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 ENCINAL PL",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013316",
            "telephone_number": "805-643-0123",
            "fax_number": "805-643-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN INJURY SPECIALISTS-PHYSICAL INJURY SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "VINCELETTE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "805-643-0123",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Injury Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ledejah Bradley
• Lynne Anne Brady, R.N.
• Mary K Brady, OT
• Rebecca Marrie Brady
• Timothy Daniel Brady, PSY.D.
• Emily Brantley
• Aurolei Braroo
• Shawnee Dove Braun, PH.D.
• Donald Joseph Braunsteiner II, R.N.
• Arturo V Bravo Jr.

• Specialist in Ventura, CA
• Providers in Ventura, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.