The Center for Bodies in Balance, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0714 Issued in NH

Legal business name

THE CENTER FOR BODIES IN BALANCE, LLC

Practice address

1 Greenleaf Woods Dr
Suite 101
Portsmouth, NH 03801-5437

Phone

(603) 319-8334

NPI assigned

Apr 21, 2007

Organization subpart

No

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

Authorized official

Name

Mary Elizabeth Marcinkowski, PTNPI 1811224306

Title

Owner/Ceo

Phone

(603) 319-8334

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Elizabeth Marcinkowski, P.T.

  • Physical Therapist
  • Portsmouth, NH
  • NPI 1811224306
  Medicare reassignment NPD Authorized official
• Vivian Chau, PT, DPT

  • Physical Therapist
  • Portsmouth, NH
  • NPI 1083435135
  NPD
• Martha E Holland, PT, DPT

  • Physical Therapist
  • Portsmouth, NH
  • NPI 1235501230
  NPD
• Sarah Shippee, PTA

  • Physical Therapy Assistant
  • Portsmouth, NH
  • NPI 1861026148
  NPD
• Doreen Lynn Gaulin, PT

  • Physical Therapist
  • Portsmouth, NH
  • NPI 1255614046
  NPD (past)
• Sandra L Montminy, DPT

  • Physical Therapist
  • Portsmouth, NH
  • NPI 1669600763
  NPD (past)

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

{
    "created_epoch": "1177113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1114145794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GREENLEAF WOODS DR",
            "address_2": "SUITE 101",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015437",
            "telephone_number": "603-319-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GREENLEAF WOODS DR",
            "address_2": "SUITE 101",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015437",
            "telephone_number": "603-319-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR BODIES IN BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-21",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "MARCINKOWSKI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "603-319-8334",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "0714",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "NH",
            "license": "0714",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NH",
            "license": "0714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0948405",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "08Y003086NH 02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "AA49359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4650011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH & CCN NETWOR",
            "identifier": "813530",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole Terhune
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• Physical Therapist in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.