Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brain Waves Inc

Organization Pediatric Occupational Therapist · NPI 1639904477

Brain Waves Inc is a Pediatric Occupational Therapist 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.

See every abbreviation used in this directory →

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