Anna M Ballard, P.T.
Individual provider Active NPI Physical Therapist · Belmont, MI
NPI 1154763431 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1154763431
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501019881 (MI)
- Practice address
- 6290 Jupiter Ave NE Ste C
Belmont, MI 49306-8885 - Phone
- (616) 364-3290
- Fax
- (616) 364-3299
- NPI assigned
- Jul 26, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019881 | MI | MD | Physical Therapist |
| 5502003920 | MI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Rehabilitation Inc | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502003920 | MI | |
| Physical Therapist | 225100000X | 5501019881 | MI | Yes |
Addresses
Primary practice location
6290 Jupiter Ave NE Ste C
Belmont, MI 49306-8885
Mailing address
5060 Cascade Rd SE Ste a
Grand Rapids, MI 49546-3808
Phone (616) 364-3290
Other names
- Anna M Bennett
Other providers in Belmont, MI
- Susan Kay Aalsburg
- Michael Ahern
- Hannah Jane Antoni
- Balance Point, Inc.
- Belmont Dentistry PLC
- Best Side Speech LLC
- Best-Equip Medical Supply Inc.
- Sarah Bethel
- Mary Alice Biggerstaff
All providers in Belmont, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.