NPIMap

Organization Active NPI

Dynamic Equilibrium, Inc.

Doing business as Balance Institute of Indiana

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1043332851
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05002810A Issued in IN
Legal business name
DYNAMIC EQUILIBRIUM, INC.
Doing business as
Balance Institute of Indiana
Practice address
7440 N Shadeland Ave
#130
Indianapolis, IN 46250-2029
Phone
(317) 577-7333
Fax
(317) 577-7330
NPI assigned
Apr 4, 2007
Last updated
May 31, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DYNAMIC EQUILIBRIUM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Mrs. Sharon K. Drehs, PTNPI 1538148473
Title
Owner
Phone
(317) 577-7333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05002810A IN Primary

Addresses

Primary practice location

7440 N Shadeland Ave
#130
Indianapolis, IN 46250-2029

Mailing address

7440 N Shadeland Ave
#130
Indianapolis, IN 46250-2029
Phone (317) 577-7333

Other practice location 1

6249 S East St
Indianapolis, IN 46227-2091
Phone (783) 129-5317

Other identifiers 2

IdentifierTypeStateIssuer
05002810AOtherININDIANA PROFESSIONAL LICENSING AGENCY
200114780AMedicaidIN

Other names 1

  • Balance Institute of Indiana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170619000262 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789623844 Receives reassigned benefits from 10 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory
Part of
Dynamic Equilibrium Inc

Locations

6249 S East St
Indianapolis, IN 46227
Phone (317) 789-1000

6249 S East St
Ste C
Indianapolis, IN 46227
Phone (317) 783-1295

7440 N Shadeland Ave
Ste 130
Indianapolis, IN 46250
Phone (317) 577-7333

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1043332851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE",
            "address_2": "#130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502029",
            "telephone_number": "317-577-7333",
            "fax_number": "317-577-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE",
            "address_2": "#130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502029",
            "telephone_number": "317-577-7333",
            "fax_number": "317-577-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6249 S East St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462272091",
            "country_code": "US",
            "telephone_number": "783-129-5317",
            "fax_number": "317-783-0633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC EQUILIBRIUM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYNAMIC EQUILIBRIUM, INC.",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "DREHS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-577-7333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002810A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
            "identifier": "05002810A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200114780A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance Institute of Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.