BRAIN & BODY REHABILITATION PSYCHOTHERAPY LLC
NPI 1023731825
Psychologist - Rehabilitation in Albuquerque, NM

Active since September 26, 2022
3200 CARLISLE BLVD NE STE 224, ALBUQUERQUE, NM 87110(505) 688-0601 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brain & Body Rehabilitation Psychotherapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAIN & BODY REHABILITATION PSYCHOTHERAPY LLC (NPI 1023731825) is a healthcare organization registered as a rehabilitation in Albuquerque, New Mexico and active in the NPI registry since September 2022. The organization lists Mark Pedrotty, President, as its authorized official.

NPPES Registry Identity

NPI1023731825
Entity TypeOrganization
Primary Taxonomy103TR0400X
Legal Business NameBRAIN & BODY REHABILITATION PSYCHOTHERAPY LLC
Location Address3200 CARLISLE BLVD NE STE 224Albuquerque, NM 87110-1664
Mailing Address3029 Delano Pl NeAlbuquerque, NM 87106-2034 · (505) 688-0601
Organization SubpartNo
Authorized OfficialMark PedrottyPresident · (505) 688-0601
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 26, 2022
✔ NPI 1023731825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers
Taxonomy Code103TR0400X
Definition
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
3200 CARLISLE BLVD NE STE 224, Albuquerque, NM 87110

Other Identifiers 1

Medicaid35587008NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brain & Body Rehabilitation Psychotherapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brain & Body Rehabilitation Psychotherapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1205843265
3200 CARLISLE BLVD NE STE 224
Albuquerque, NM 87110
(505) 688-0601
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brain & Body Rehabilitation Psychotherapy LLC's NPI number?

The NPI number for Brain & Body Rehabilitation Psychotherapy LLC is 1023731825. It was assigned to this organization in the NPPES registry on September 26, 2022.

Where is Brain & Body Rehabilitation Psychotherapy LLC located?

Brain & Body Rehabilitation Psychotherapy LLC is located at 3200 Carlisle Blvd NE Ste 224, Albuquerque, NM 87110. The listed phone number is (505) 688-0601.

What is Brain & Body Rehabilitation Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

Is Brain & Body Rehabilitation Psychotherapy LLC enrolled in Medicare?

Yes. Brain & Body Rehabilitation Psychotherapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brain & Body Rehabilitation Psychotherapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Brain & Body Rehabilitation Psychotherapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brain & Body Rehabilitation Psychotherapy LLC was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.