Mark E Balch – Physical Therapist in Queen Creek, AZ

Key facts

NPI: 1124080072
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 5708 (AZ)
Practice address: 20715 E Ocotillo Rd
Suite 103
Queen Creek, AZ 85242-6118
Phone: (480) 888-1558
Fax: (480) 888-1533
NPI assigned: Apr 5, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 3

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.

360 Physical Therapy, LLC Specialist · Scottsdale, AZ · NPI 1932430949

Medicare reassignment Care Compare group NPD AZ
360 Physical Therapy LLC Multi-Specialty Clinic/Center · Chandler, AZ · NPI 1275576589

NPD PHYSICAL THERAPIST
360 Physical Therapy LLC Physical Therapist · Queen Creek, AZ · NPI 1689115164

NPD PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2001
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: 360 Physical Therapy LLC (87 clinicians)

Practice addresses (Care Compare)

1076 W Chandler Blvd
Suite 103
Chandler, AZ 85224-5223
Phone (480) 821-1997

25229 S Sun Lakes Blvd
Suite 119
Sun Lakes, AZ 85248-6465
Phone (480) 883-6734

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AZ

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20040407000656	AZ	Practitioner - Physical Therapist in Private Practice	9335132075	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
360 Physical Therapy LLC	Physical Therapist	Current since Oct 18, 2008	Accepting new patients
360 Physical Therapy LLC	Physical Therapist	Current since Oct 18, 2008	Accepting new patients
360 Physical Therapy, LLC		Current	Accepting new patients

Locations

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	5708	AZ	Yes

Addresses

Primary practice location

20715 E Ocotillo Rd
Suite 103
Queen Creek, AZ 85242-6118

Mailing address

20715 E Ocotillo Rd
Suite 103
Queen Creek, AZ 85242-6118
Phone (480) 888-1558

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124080072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20715 E OCOTILLO RD",
            "address_2": "SUITE 103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852426118",
            "telephone_number": "480-888-1558",
            "fax_number": "480-888-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20715 E OCOTILLO RD",
            "address_2": "SUITE 103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852426118",
            "telephone_number": "480-888-1558",
            "fax_number": "480-888-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCH",
        "first_name": "MARK",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

All providers in Queen Creek, AZ · Physical Therapist in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.