Organization Active NPI

Balance Wellness Therapy: Occupational Therapists, PLLC

  • Pediatric Occupational Therapist
  • Pine Plains, NY
National Provider Identifier
1104189059
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
010823 Issued in NY
Legal business name
BALANCE WELLNESS THERAPY: OCCUPATIONAL THERAPISTS, PLLC
Practice address
77 Bowman Rd
Pine Plains, NY 12567-5009
Phone
(914) 588-1446
Fax
(845) 678-3456
NPI assigned
Jun 15, 2012
Last updated
Jun 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Christina G Befanis, OTR/LNPI 1780978742
Title
President/Owner
Phone
(914) 588-2143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 010823 NY
Pediatric Occupational Therapist 225XP0200X 010823 NY Primary

Addresses

Primary practice location

77 Bowman Rd
Pine Plains, NY 12567-5009

Mailing address

77 Bowman Rd
Pine Plains, NY 12567-5009
Phone (914) 588-1446

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": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1104189059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BOWMAN RD",
            "city": "PINE PLAINS",
            "state": "NY",
            "postal_code": "125675009",
            "telephone_number": "914-588-1446",
            "fax_number": "845-678-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BOWMAN RD",
            "city": "PINE PLAINS",
            "state": "NY",
            "postal_code": "125675009",
            "telephone_number": "914-588-1446",
            "fax_number": "845-678-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE WELLNESS THERAPY: OCCUPATIONAL THERAPISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "BEFANIS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "914-588-2143",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010823",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "010823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.