Organization Active NPI

Inbalance Acupuncture PT, Inc

  • Clinic/Center
  • Pasadena, CA
National Provider Identifier
1104284223
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC14972 Issued in CA
Legal business name
INBALANCE ACUPUNCTURE PT, INC
Practice address
615 E Union St
Pasadena, CA 91101-1719
Phone
(626) 551-1108
NPI assigned
Feb 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Lory Yeh, PT, DPT, OCS, LAC
Title
Director
Phone
(626) 551-1108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC14972 CA Primary
Physical Therapy Clinic/Center 261QP2000X PT35876 CA

Addresses

Primary practice location

615 E Union St
Pasadena, CA 91101-1719

Mailing address

615 E Union St
Pasadena, CA 91101-1719
Phone (626) 551-1108

Other names 1

  • InBalance Acu Physical Therapy PC Former legal business name

National Provider Directory

National Provider Directory

Locations

615 E Union St
Pasadena, CA 91101
Phone (626) 304-0565

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1104284223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E UNION ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011719",
            "telephone_number": "626-551-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E UNION ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011719",
            "telephone_number": "626-551-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INBALANCE ACUPUNCTURE PT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "LORY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-551-1108",
        "authorized_official_credential": "PT, DPT, OCS, LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "AC14972",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT35876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InBalance Acu Physical Therapy PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.