Brave Yoga for All LLC

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

Legal business name

BRAVE YOGA FOR ALL LLC

Practice address

299 Clark Road Ext
Fiskdale, MA 01518-1036

Phone

(508) 330-1141

NPI assigned

Sep 9, 2025

Last updated

Sep 9, 2025By 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

Lisa M Irvine, MS,OTR/LNPI 1518840305

Title

Occupational Therapist

Phone

(508) 330-1141

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Irvine, MS OTR/L RYT200

  • Occupational Therapist
  • Northborough, MA
  • NPI 1518840305
  NPD Authorized official

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1912888702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CLARK ROAD EXT",
            "city": "FISKDALE",
            "state": "MA",
            "postal_code": "015181036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CLARK ROAD EXT",
            "city": "FISKDALE",
            "state": "MA",
            "postal_code": "015181036",
            "telephone_number": "508-330-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE YOGA FOR ALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "IRVINE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "508-330-1141",
        "authorized_official_credential": "MS,OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysha Bedard
• Cognitive Connections Counseling
• Jennifer Marie Connors, D.C.
• DME Living Well, LLC (DME Living Well)
• Bradley Ellithorpe
• Nora L Fabrycki, APRN-BC

• Physical Rehabilitation Occupational Therapist in Fiskdale, MA
• Providers in Fiskdale, MA by specialty
• Physical Rehabilitation Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.