Brain Aerobics LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BRAIN AEROBICS LLC

Practice address

213 E Sheridan St
Suite 1
Dania, FL 33004-4607

Phone

(954) 920-9293

Fax

(954) 920-9285

NPI assigned

Nov 4, 2008

Last updated

Nov 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanna Goldstein

Title

Owner

Phone

(954) 920-9293

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1689828642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E SHERIDAN ST",
            "address_2": "SUITE 1",
            "city": "DANIA",
            "state": "FL",
            "postal_code": "330044607",
            "telephone_number": "954-920-9293",
            "fax_number": "954-920-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E SHERIDAN ST",
            "address_2": "SUITE 1",
            "city": "DANIA",
            "state": "FL",
            "postal_code": "330044607",
            "telephone_number": "954-920-9293",
            "fax_number": "954-920-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN AEROBICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "SUZANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-920-9293"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.