Brave Wings Therapy, PC
Brave Wings Therapy, PC is a healthcare organization registered as Multi-Specialty Clinic/Center in Fairfield, NJ, holding Type 2 (organization) NPI 1497304430 since 2019. The authorized official on file is Jennifer Moore, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1497304430 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brave Wings Therapy, PC |
| Practice address | 155 PASSAIC AVE, Fairfield, NJ, 07004 |
| Phone | 9737470456 |
| Enumeration date | 2019-09-11 |
| Last updated in NPPES | 2026-04-23 |
Authorized official
| Name | Jennifer Moore |
|---|---|
| Title | Owner |
| Phone | 9737470456 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist | Secondary | — | — |
| 225XP0200X | Pediatric Occupational Therapist | Secondary | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Brave Wings Therapy, PC NPI: 1497304430 Taxonomy: 261QM1300X (Multi-Specialty Clinic/Center) Address: 155 PASSAIC AVE, Fairfield, NJ, 07004
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962995803 | Lauren Schaefer | Individual | Speech-Language Pathologist | Fairfield, NJ |
| 1154162659 | Maria Koutsoumbis | Individual | Speech-Language Pathologist | Fairfield, NJ |
| 1366273591 | Brooke Keena | Individual | Pediatric Occupational Therapist | Fairfield, NJ |
| 1720941313 | Gabriella Ferrovecchio | Individual | Occupational Therapist | Fairfield, NJ |
| 1518803717 | Kerry Halpin | Individual | Occupational Therapist | Fairfield, NJ |
Verify this record
Cross-check NPI 1497304430 against the authoritative CMS record: view Brave Wings Therapy, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Brave Wings Therapy, PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-23.