A FOCUSED BRAIN LLC (NPI# 1184080426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184080426 |
Entity Type | Organization |
Organization Name | A FOCUSED BRAIN LLC |
Practice Address |
7712 Old Canton Rd Madison MS 39110-9299 |
Mailing Address |
4345 Meadowridge Dr Jackson MS 39206-5912 |
Practice Telephone | 6014275775 |
Mailing Telephone | 6012596917 |
Enumeration Date | 2015-12-31 |
Last Update Date | 2015-12-31 |
Authorized Official Name | JOHN POE (OFFICE MANAGER) |
Authorized Official Telephone | 6014275775 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
OT2806 | MS | Ambulatory Health Care Facilities |
Street Address |
7712 OLD CANTON RD |
City | MADISON |
State | MS |
Zip Code | 39110-9299 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295731685 | William R. Thomas | Physical Therapist | 7712 Old Canton Rd, Suite A, Madison, MS 39110-9299 | 2005-06-22 |
1720566672 | Emily Liddon | Occupational Therapist | 7712 Old Canton Rd, Madison, MS 39110-9299 | 2018-08-02 |
1124470539 | Morgan Lindsey Burnett | Occupational Therapist | 7712 Old Canton Rd, Suite 2, Madison, MS 39110-9299 | 2016-07-09 |
1063813301 | Kelli Colley | Occupational Therapist | 7712 Old Canton Rd, Madison, MS 39110-9299 | 2014-09-05 |
1326488263 | Professional Therapy Solutions, LLC | Physical Therapist | 7712 Old Canton Rd, Madison, MS 39110-9299 | 2013-06-25 |
1285809665 | Lisa B Poe | Occupational Therapist | 7712 Old Canton Rd, Suite B, Madison, MS 39110-9299 | 2008-04-25 |
1295722213 | Robin R. Smith | Physical Therapist | 7712 Old Canton Rd, Ste A, Madison, MS 39110-9299 | 2005-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
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Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
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1992021026 | Scherer Chiropractic LLC | Clinic/Center | 333 Sarepta Ln Nw, Meadville, MS 39653-8223 | 2010-04-14 |
1669656765 | North Mississippi Medcial Center, Inc. | Clinic/Center | 920 N Fourth St, Suite A, Baldwyn, MS 38824-1121 | 2007-12-26 |
1386769669 | Physiotherapy Associates Inc | Clinic/Center | 1308 Aston Ave, Mccomb, MS 39648-2826 | 2007-03-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.