Brain Performance Centers, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

2478 Issued in AZ

Legal business name

BRAIN PERFORMANCE CENTERS, LLC

Practice address

6840 E Brown Rd Ste 104
Mesa, AZ 85207-3759

Phone

(480) 719-8080

Fax

(480) 981-8595

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Mr. John Scott Davis, O.T

Title

Member/Manager

Phone

(480) 678-0872

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1902208416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3397 E VAUGHN AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344135",
            "telephone_number": "480-678-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 E BROWN RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073759",
            "telephone_number": "480-719-8080",
            "fax_number": "480-981-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN PERFORMANCE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "480-678-0872",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.T"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AZ",
            "license": "2478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristiana Brady
• Robyn Elouise Brady, MA, CCC-SLP
• Mirranda Braford
• Brain Health Diagnostics LLC
• Brain Performance Centers
• Brain Solutions PLLC
• Julia Bramer, PCT
• Bramwell Dentistry
• Tanner Branch, OTR/L
• Steven Brandes, PA

• Rehabilitation Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.