Individual provider Active NPI

Patricia H Balbach, PT

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1093868069
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05001198A Issued in IN
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

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000218676OtherINANTHEM BC & BS PIN

Other names 1

  • Ms. Patricia G Hamner Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211223000568 IN Practitioner - Physical Therapist in Private Practice 3072904275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05001198AINMDHand Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Pediatric Subspecialties CurrentSince Sep 23, 2021 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.