Body Balance LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1111524 Issued in TX

Legal business name

BODY BALANCE LLC

Doing business as

Body Balance Lakeway

Practice address

1602 Lohmans Crossing Rd
Lakeway, TX 78734-5160

Phone

(251) 226-1869

Fax

(512) 261-2237

NPI assigned

May 2, 2014

Last updated

May 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul J Hendricks, PTNPI 1053470567

Title

Owner

Phone

(512) 261-8699

Specialties & licenses 1

Addresses

Other names 1

• Body Balance Lakeway Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul James Hendricks, PT

  • Orthopedic Physical Therapist
  • Lakeway, TX
  • NPI 1053470567
  NPD (past) Authorized official

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1013327873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 COPPERLEAF RD",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343840",
            "telephone_number": "512-261-8699",
            "fax_number": "512-261-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 LOHMANS CROSSING RD",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345160",
            "telephone_number": "251-226-1869",
            "fax_number": "512-261-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-261-8699",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1111524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Balance Lakeway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Bieri, M.D.
• Bir JV LLP (Baylor Scott & White Institute for Rehabilitation - Lakeway)
• Black Acre Emergency Physicians Medical Group PLLC
• Rachel Black, RBT
• Michelle Lee Blackburn, FNP
• Body Balance Orthopedic & Sport Performance
• Brian Bolerjack, D.M.D., M.D.S.
• Laura E. Bowen, MA, LPC-S
• Kohldon Carter Boydston, MD
• Dana Brauman, PSYD

• Orthopedic Physical Therapist in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.