Total Balance Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0105006790 Issued in VA

Legal business name

TOTAL BALANCE REHABILITATION LLC

Practice address

3696 Criollo Dr
Virginia Beach, VA 23453-2221

Phone

(757) 615-2195

Fax

(757) 689-0206

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nequai Terry McLendon, D.P.T.

Title

Administrator

Phone

(757) 615-2195

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1124498464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 CRIOLLO DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234532221",
            "telephone_number": "757-615-2195",
            "fax_number": "757-689-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3696 CRIOLLO DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234532221",
            "telephone_number": "757-615-2195",
            "fax_number": "757-689-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BALANCE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "NEQUAI",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-615-2195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "0105006790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.