Balanced Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT13031 Issued in FL

Legal business name

BALANCED REHAB LLC

Practice address

160 S Beach St
Daytona Beach, FL 32114-4408

Phone

(386) 252-2400

Fax

(386) 252-2414

NPI assigned

Nov 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Antonios Arnaoutis, P.T.NPI 1285813295

Title

Owner/Director

Phone

(386) 252-2400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Antonios Arnaoutis, P.T.

  • Physical Therapist
  • Daytona Beach, FL
  • NPI 1285813295
  Medicare reassignment Care Compare group NPD Authorized official
• Richard Mitchel Fuentes, DPT

  • Physical Therapist
  • Daytona Beach, FL
  • NPI 1154595528
  Medicare reassignment Care Compare group
• Robert Langston Tugwell, P.T.

  • Physical Therapist
  • Daytona Beach, FL
  • NPI 1811163181
  NPD (past)
• Jennifer Lee Williams, PTA

  • Physical Therapy Assistant
  • Daytona Beach, FL
  • NPI 1831478270
  NPD (past)

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1124209119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S BEACH ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144408",
            "telephone_number": "386-252-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S BEACH ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144408",
            "telephone_number": "386-252-2400",
            "fax_number": "386-252-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-18",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "ARNAOUTIS",
        "authorized_official_first_name": "ANTONIOS",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "386-252-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT13031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Baker, BA, TCM
• Kristen Nicole Baker, M.D.
• Mackenzie Baker
• Stephone Delano Devante Baker
• Sanjay Bakshi, MD
• Angela Baldwin, MA, RMHCI
• Cynthia Kathleen Baldwin, M.D.
• Ronald Francis Baldwin, D.O.
• Deborah Maria Ball Mora, MD
• Amy V Ballou, BA

• Physical Therapy Clinic/Center in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.