NPIMap

Organization Active NPI

Balanced Health Physical Therapy

  • Physical Therapy Clinic/Center
  • Gloversville, NY
National Provider Identifier
1144625401
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
011442-1 Issued in NY
Legal business name
BALANCED HEALTH PHYSICAL THERAPY
Practice address
41 Arterial PLZ
Gloversville, NY 12078-2512
Phone
(518) 775-9554
Fax
(518) 773-7747
NPI assigned
Oct 29, 2014
Last updated
Feb 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Nancy E McCormick, PTNPI 1285624379
Title
Sole Member
Phone
(518) 775-9554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 011442-1 NY Primary

Addresses

Primary practice location

41 Arterial PLZ
Gloversville, NY 12078-2512

Mailing address

41 Arterial PLZ
Gloversville, NY 12078-2512
Phone (518) 775-9554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150602000898 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456672591 Receives reassigned benefits from 12 practitioners
Practice locations: Johnstown, NY; Gloversville, NY

National Provider Directory

National Provider Directory

Locations

41 Arterial Plz
Gloversville, NY 12078
Phone (518) 775-9554

309 W Montgomery St
Ste 16A
Johnstown, NY 12095
Phone (518) 619-8991

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1144625401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ARTERIAL PLZ",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120782512",
            "telephone_number": "518-775-9554",
            "fax_number": "518-773-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ARTERIAL PLZ",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120782512",
            "telephone_number": "518-775-9554",
            "fax_number": "518-773-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED HEALTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "518-775-9554",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "011442-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.