BRAIN PERFORMANCE CENTERS, LLC (NPI# 1902208416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902208416 |
| Entity Type | Organization |
| Organization Name | BRAIN PERFORMANCE CENTERS, LLC |
| Practice Address |
6840 E Brown Rd Ste 104 Mesa AZ 85207-3759 |
| Mailing Address |
3397 E Vaughn Ave Gilbert AZ 85234-4135 |
| Practice Telephone | 4807198080 |
| Practice Fax Number | 4809818595 |
| Mailing Telephone | 4806780872 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | MR. JOHN SCOTT DAVIS (MEMBER/MANAGER) |
| Authorized Official Telephone | 4806780872 |
| Authorized Official Credential | O.T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
2478 | AZ | Ambulatory Health Care Facilities |
| Street Address |
6840 E BROWN RD STE 104 |
| City | MESA |
| State | AZ |
| Zip Code | 85207-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124079801 | John Scott Davis | Occupational Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2006-05-15 |
| 1487280137 | Brian Orrell | Physical Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2020-03-13 |
| 1477198737 | Emily Lines | Occupational Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2019-11-11 |
| 1386290062 | Melissa Hurst | Speech-Language Pathologist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2019-08-17 |
| 1659924074 | Derek Chase Adams | Occupational Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2019-07-24 |
| 1003364027 | Amy Miner | Occupational Therapy Assistant | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2016-09-19 |
| 1942659651 | Desmond Bernstein | Physical Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207 | 2016-06-03 |
| 1013381383 | Brain Performance Centers | Point of Service | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2015-11-23 |
| 1538449897 | Jason Ernst | Occupational Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2011-08-18 |
| 1922291483 | Duane K Blau | Physical Therapist | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2007-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241743 | Sharin Lane | Physical Therapist | Spooner North Mesa, PC, 6824 E Brown Rd # 102, Mesa, AZ 85207 | 2019-02-14 |
| 1154898435 | Phoenix Physician Group, LLC | Emergency Medicine | 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 | 2018-10-25 |
| 1467970939 | Kerry Mae Kenley | Specialist/Technologist | 7556 E. Laurel St, Mesa, AZ 85207 | 2017-09-05 |
| 1053709287 | Barbara Bowen | Speech-Language Pathologist | 8433 E. Leland St., Mesa, AZ 85207 | 2014-12-22 |
| 1043561046 | Joseph Allen Kempton | Physical Therapist | 844 N. Ellsworth Rd, Mesa, AZ 85207 | 2012-10-01 |
| 1629327556 | Odyssey Services Corp. | Community/Behavioral Health | 8947 East Quill Street, Mesa, AZ 85207 | 2012-09-06 |
| 1962729160 | Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207 | 2010-04-27 |
| 1366670929 | Trevor Lee Caffall | Dentist | 6812 E. Brown Rd., Ste 102, Mesa, AZ 85207 | 2009-06-22 |
| 1396928073 | Dht Hand Therapy Limited Partnership | Occupational Therapist | 7165 E University Dr Ste 143, Mesa, AZ 85207 | 2007-12-17 |
| 1184794075 | Karen L Thomas Pllc | Nurse Practitioner | 3902 N. Stone Gully Cricle, Mesa, AZ 85207 | 2006-11-08 |
| Find all providers in zip 85207 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030732 | Bhsm Rehabilitation, LLC | Clinic/Center | 1309 N Greenfield Rd Ste 102, Mesa, AZ 85205-4009 | 2020-07-09 |
| 1316462369 | Bhsm Rehabilitation, LLC | Clinic/Center | 1255 W Baseline Rd Ste 140, Mesa, AZ 85202-5821 | 2017-08-11 |
| 1871998799 | Christian Care Nursing Center, Inc. | Clinic/Center | 155 W Brown Rd, Mesa, AZ 85201-3427 | 2014-11-04 |
| 1871060020 | Bhsm Rehabilitation, LLC | Clinic/Center | 2225 W Southern Ave Bldg 1300, Mesa, AZ 85202-4716 | 2018-10-25 |
| 1306361357 | Bhsm Rehabilitation, LLC | Clinic/Center | 10165 E Hampton Ave Ste 111, Mesa, AZ 85209-3327 | 2017-08-11 |
| 1861721847 | Mesa United Medical Investors, Lp | Clinic/Center | 330 S Pinnule Cir, Mesa, AZ 85206-1636 | 2009-12-21 |
| 1114256369 | Life Care Centers of America, Inc. | Clinic/Center | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2009-12-17 |
| 1770738056 | Balance Basics, LLC | Clinic/Center | 4360 E Main St, Suite 103, Mesa, AZ 85205-8638 | 2008-11-30 |
| 1366616336 | Rehab Arizona LLC | Clinic/Center | 303 N Centennial Way, Mesa, AZ 85201-6733 | 2008-04-21 |
| 1851359145 | Rehab Arizona Neuro Rehabilitation, LLC | Clinic/Center | 2919 S Ellsworth Rd, Ste 111, Mesa, AZ 85212-2144 | 2006-05-03 |
| Find all providers in MESA | ||||
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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.