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

Brave Wings Therapy, PC

Organization Pediatric Occupational Therapist · NPI 1497304430

Brave Wings Therapy, PC is a Pediatric Occupational Therapist in Fairfield, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

155 Passaic Ave
Fairfield, NJ 07004-3561
Phone: (973) 747-0456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Pediatric Occupational Therapist Taxonomy 225XP0200X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1497304430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Moore — Owner · (973) 747-0456
NPI enumeratedSeptember 11, 2019
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address155 Passaic Ave, Fairfield, NJ 07004-3561

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