Paul Layugan Balisi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA00769300 Issued in NJ

Practice address

180 Franklin Tpke Ste 9
Mahwah, NJ 07430-1364

Phone

(201) 828-9290

Fax

(201) 828-9670

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mahwah Health Services, LLCGroup PAC ID 9335241660, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mahwah Health Services, LLC

  • Physical Therapist
  • Mahwah, NJ
  • NPI 1851445068
  Medicare reassignment Care Compare group NPD
• Mahwah Health Services

  • Physical Therapist
  • Mahwah, NJ
  • NPI 1629488127
  NPD (past) Authorized official
• Alpine Physical Therapy, PLLC

  • Orthopedic Physical Therapist
  • Monticello, NY
  • NPI 1235176082
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003835158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FRANKLIN TPKE STE 9",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301364",
            "telephone_number": "201-828-9290",
            "fax_number": "201-828-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FRANKLIN TPKE STE 9",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301364",
            "telephone_number": "201-828-9290",
            "fax_number": "201-828-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALISI",
        "first_name": "PAUL",
        "middle_name": "LAYUGAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA00769300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.