OrganizationActive
Brain & Body Boost, LLC
NPI 1588271472 · Pediatric Physical Therapist · Prosper, TX
Provider details
- NPI number
- 1588271472
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Amber Brim, Managing Officer(708) 476-1884
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4360 Bristleleaf Ln
Prosper, TX 75078-1218
Phone: (708) 476-1884
Street-level locationGet directions
Mailing address
4360 Bristleleaf Ln
Prosper, TX 75078-1218
Registry dates
- Enumerated
- 2020-09-25
- Last updated
- 2020-09-28
- Certified
- 2020-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.