NPIMap

Organization Active NPI

Back to Balance LLC

  • Physical Therapy Clinic/Center
  • Rockville, MD
National Provider Identifier
1053610303
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
17977 Issued in MD
Legal business name
BACK TO BALANCE LLC
Practice address
4701 Jasmine Dr
Rockville, MD 20853-1740
Phone
(301) 929-9231
Fax
(301) 929-9231
NPI assigned
Mar 24, 2011
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Ms. Nancy Ruberto-BeachlerNPI 1407035736
Title
Physical Therapist/Sole Proprietor
Phone
(301) 929-9231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 17977 MD Primary

Addresses

Primary practice location

4701 Jasmine Dr
Rockville, MD 20853-1740

Mailing address

4701 Jasmine Dr
Rockville, MD 20853-1740
Phone (301) 929-9231

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1053610303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 JASMINE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531740",
            "telephone_number": "301-929-9231",
            "fax_number": "301-929-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 JASMINE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531740",
            "telephone_number": "301-929-9231",
            "fax_number": "301-929-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "RUBERTO-BEACHLER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "301-929-9231",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "17977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.