Caleb Sanders Ballard, MOT, OTR/L, CEAS I

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8505 Issued in NC

Practice address

2300 Westinghouse Blvd
107
Raleigh, NC 27604-2493

Phone

(919) 256-1400

Fax

(919) 256-1403

NPI assigned

Dec 3, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Physical Therapy

  • Physical Therapy Assistant
  • Kevil, KY
  • NPI 1215802921
  NPD
• Job Ready Services, LLC

  • Orthopedic Physical Therapist
  • Raleigh, NC
  • NPI 1609956309
  NPD (past)

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1083959001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 CALLIOPE WAY APT 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166064",
            "telephone_number": "270-556-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WESTINGHOUSE BLVD",
            "address_2": "107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276042493",
            "telephone_number": "919-256-1400",
            "fax_number": "919-256-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "CALEB",
        "middle_name": "SANDERS",
        "name_prefix": "Mr.",
        "credential": "MOT, OTR/L, CEAS I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Andres Balladares, MD
• Adam Ryan Ballance
• Emily Mason Ballance, LPC
• Albany Lynn Ballard
• Brittany Marie Ballard, LCSW
• Christiana Ballard
• Zoey Ballard
• Michelle Ballasiotes, OTR/L
• Angel Ballentine, PT
• Jessica Jazz Balletta, LCSW

• Occupational Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.