MEDICARE: BRAIN GAINS THERAPY SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist
3	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1396301743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRAIN GAINS THERAPY SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	11120 NW 10TH PL
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6302
Country	:	US
Telephone Number	:	754-216-8839
Fax Number	:

Provider Business Practice Location Address
First Line	:	11120 NW 10TH PL
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6302
Country	:	US
Telephone Number	:	754-216-8839
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	ALEXIS YERO
Credential	:	M.S., CCC-SLP
Telephone Number	:	754-216-8839

Provider Enumeration Date	:	05/10/2019
Last Update Date	:	01/07/2026

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