Brainstorm Rehabilitation, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

LL00003578 Issued in WA

Legal business name

BRAINSTORM REHABILITATION, LLC

Doing business as

Brainstorm Rehabilitation

Practice address

109 E 3Rd Ave Ste 1
Ellensburg, WA 98926-3357

Phone

(509) 833-1983

NPI assigned

Aug 31, 2009

Organization subpart

No

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

Authorized official

Name

Bethany Leighann Davis, M.A. CCC-SLP

Title

Owner

Phone

(509) 833-1983

Specialties & licenses 1

Addresses

Other names 1

• Brainstorm Rehabilitation Doing business as

Locations

Practitioners 1

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

• Suzanne Marie Rettig, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Yakima, WA
  • NPI 1003865437
  NPD (past)

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1881827392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989261909",
            "telephone_number": "509-833-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 3RD AVE STE 1",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263357",
            "telephone_number": "509-833-1983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 E 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Ellensburg",
            "state": "WA",
            "postal_code": "989263212",
            "country_code": "US",
            "telephone_number": "509-833-1983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAINSTORM REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "LEIGHANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-833-1983",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WA",
            "license": "LL00003578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brainstorm Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brainstorm Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Bow, MACCHM
• Kristina A Bowen, DO
• Tersha Kalinn Bowser
• Boys Smith Vision Center Medical PLLC
• Haylee Marie Bradley, CAAR.CG700009231
• June Gweneth Bredin, MD
• Bridgeman Chiropractic PLLC
• David B Bridgeman, DC
• Christian A Bringolf, MA CMHS LMHC
• Paula Brinkerhoff

• Rehabilitation Clinic/Center in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.