NPIMap

Organization Active NPI

Bodybalance PT Twin Falls LLC

Doing business as BodyBalance Physical Therapy

  • Physical Therapy Clinic/Center
  • Twin Falls, ID
National Provider Identifier
1043657828
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BODYBALANCE PT TWIN FALLS LLC
Doing business as
BodyBalance Physical Therapy
Practice address
657 Blue Lakes Blvd N
Twin Falls, ID 83301-4036
Phone
(208) 934-9011
NPI assigned
Jun 3, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
BBPT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Mr. Dennis McArthur
Title
Manager
Phone
(208) 934-9011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

657 Blue Lakes Blvd N
Twin Falls, ID 83301-4036

Mailing address

1896 Candleridge Dr
Twin Falls, ID 83301-8302
Phone (208) 734-6172

Other names 1

  • BodyBalance Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131202001861 ID Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0143456814 Receives reassigned benefits from 9 practitioners
Practice locations: Twin Falls, ID

National Provider Directory

National Provider Directory
Part of
BBPT Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • BBPT Inc

    dba Body Balance Physical Therapy

    • Physical Therapist
    • Gooding, ID
    • NPI 1811951841

    Member Of

    NPD member

Locations

657 Blue Lakes Blvd N
Twin Falls, ID 83301
Phone (208) 736-9011

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1043657828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1896 CANDLERIDGE DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018302",
            "telephone_number": "208-734-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 BLUE LAKES BLVD N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014036",
            "telephone_number": "208-934-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYBALANCE PT TWIN FALLS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BBPT INC",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "MCARTHUR",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-934-9011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyBalance Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.