Body in Balance Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013416-1 Issued in NY

Legal business name

BODY IN BALANCE PHYSICAL THERAPY PLLC

Practice address

611 Old Willets Path
Hauppauge, NY 11788

Phone

(631) 232-5350

NPI assigned

Nov 1, 2006

Last updated

Dec 13, 2013By 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

David Wenger, DPT

Title

Owner

Phone

(631) 232-5350

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1033297759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 OLD WILLETS PATH",
            "address_2": "SUITE 105",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884105",
            "telephone_number": "631-232-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 OLD WILLETS PATH",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-232-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IN BALANCE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "WENGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-232-5350",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013416-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Block
• Steven David Blonder, DDS
• Natalie Mursteine Bodden, NP
• Body in Balance Physical Therapy
• Body in Balance Physical Therapy
• Andrew Bogart, MD
• Oksana Boldyrev
• Francesca Bonfiglio
• Catherine Elizabeth Bongo-Liselli
• Paul Bonheim, M.D.

• Physical Therapist in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.