Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Brain Waves Inc

Organization Pediatric Occupational Therapist · NPI 1639904477

Brain Waves Inc provides Pediatric Occupational Therapist services in Pismo Beach, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

245 Santa Fe Ave
Pismo Beach, CA 93449-1948
Phone: (805) 888-0842
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1639904477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellery Lockwood — Ceo · (805) 888-0842
Other names Brain Waves
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address245 Santa Fe Ave, Pismo Beach, CA 93449-1948