Active NPI
Patricia H Balbach, PT
- Physical Therapist
- Evansville, IN
National Provider Identifier
1093868069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001198A
- Practice address
- 3701 Bellemeade Ave
Evansville, IN 47714-0137 - Phone
- (812) 479-1411
- Fax
- (812) 437-2636
- NPI assigned
- Jan 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05001198A | IN | Primary |
| Cardiopulmonary Physical Therapist | 2251C2600X | 05001198A | IN | |
| Ergonomics Physical Therapist | 2251E1200X | 05001198A | IN | |
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 05001198A | IN | |
| Geriatric Physical Therapist | 2251G0304X | 05001198A | IN | |
| Hand Physical Therapist | 2251H1200X | 05001198A | IN | |
| Human Factors Physical Therapist | 2251H1300X | 05001198A | IN | |
| Neurology Physical Therapist | 2251N0400X | 05001198A | IN | |
| Pediatric Physical Therapist | 2251P0200X | 05001198A | IN | |
| Sports Physical Therapist | 2251S0007X | 05001198A | IN | |
| Orthopedic Physical Therapist | 2251X0800X | 05001198A | IN |
Addresses
Primary practice location
3701 Bellemeade Ave
Evansville, IN 47714-0137
Mailing address
3701 Bellemeade Ave
Evansville, IN 47714-0137
Phone (812) 479-1411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000218676 | Other | IN | ANTHEM BC & BS PIN |
Other names 1
- Ms. Patricia G Hamner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05001198A | IN | MD | Hand Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Pediatric Subspecialties | Current | Accepting new patients | |
| St Vincent Pediatric Subspecialties | Current | Accepting new patients |
Locations
3900 Washington Ave
Evansville, IN 47714
Phone (812) 485-7425
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211
Interoperability endpoints
- patricia.balbach.1@7598.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1013967736
-
- Pediatric Critical Care Medicine Physician
- Evansville, IN
- NPI 1851950224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1093868069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 BELLEMEADE AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140137",
"telephone_number": "812-479-1411",
"fax_number": "812-437-2636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 BELLEMEADE AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140137",
"telephone_number": "812-479-1411",
"fax_number": "812-437-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBACH",
"first_name": "PATRICIA",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-20",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001198A",
"primary": true
},
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "IN",
"license": "05001198A",
"primary": false
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "IN",
"license": "05001198A",
"primary": false
},
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "IN",
"license": "05001198A",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "IN",
"license": "05001198A",
"primary": false
},
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "IN",
"license": "05001198A",
"primary": false
},
{
"code": "2251H1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Human Factors",
"state": "IN",
"license": "05001198A",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "IN",
"license": "05001198A",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IN",
"license": "05001198A",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "IN",
"license": "05001198A",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IN",
"license": "05001198A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC & BS PIN",
"identifier": "000000218676",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "HAMNER",
"middle_name": "G",
"prefix": "MS.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.