Brave Wings Therapy, PC
Clinic/Center, Multi-Specialty in Fairfield, New Jersey
1497304430- Practice location
- 155 Passaic Ave, Fairfield, NJ 07004-3561
- Phone
- 973-747-0456
- Fax
- —
- Last updated
- October 27, 2026
Brave Wings Therapy, PC is a healthcare organization based in Fairfield, NJ. Brave Wings Therapy, PC practices in Fairfield, NJ. The NPI Number for Brave Wings Therapy, PC is 1497304430. The current practice location address for Brave Wings Therapy, PC is 155 Passaic Ave, Fairfield, NJ 07004-3561 and can be reached out via phone at 973-747-0456.
Provider Profile Details
- NPI Number
- 1497304430
- Provider Name
- Brave Wings Therapy, PC
- Provider Entity Type
- Organization
- Address
- 155 Passaic Ave, Fairfield, NJ 07004-3561
- Phone Number
- 973-747-0456
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- No
- Authorized Official
- Jennifer D. Moore · Owner · 973-800-8515
- Provider Enumeration Date
- September 11, 2019
- Last Update Date
- October 27, 2026
- Certification Date
- October 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 155 Passaic Ave
Fairfield, NJ 07004-3561 - City
- Fairfield
- State
- New Jersey
- Zip
- 07004-3561
- Phone Number
- 973-747-0456
Provider Business Mailing Address Details
- Address
- 155 Passaic Ave
Fairfield, NJ 07004-3561 - City
- Fairfield
- State
- NJ
- Zip
- 07004-3561
- Phone Number
- 973-747-0456
License Information
- Taxonomy (1)
- Occupational Therapist, Pediatrics · 225XP0200X
- Taxonomy (2)
- Speech-Language Pathologist, · 235Z00000X
- Taxonomy (3)
- Clinic/Center, Multi-Specialty · 261QM1300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brave Wings Therapy, PC?
The NPI number of Brave Wings Therapy, PC is 1497304430. It was assigned on September 11, 2019 and is currently active in the NPPES registry.
What is the specialty of Brave Wings Therapy, PC?
Brave Wings Therapy, PC is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X).
Where does Brave Wings Therapy, PC practice?
The practice location is 155 Passaic Ave, Fairfield, NJ 07004-3561. The office can be reached at 973-747-0456 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497304430 directly on the NPPES registry website.