Individual provider Active NPI

Natala Balla

  • Physical Therapist
  • Fairless Hills, PA
National Provider Identifier
1164016283
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028511 Issued in PA
Practice address
405A S Oxford Valley Rd
Fairless Hills, PA 19030
Phone
(267) 874-6000
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028511 PA Primary

Addresses

Primary practice location

405A S Oxford Valley Rd
Fairless Hills, PA 19030

Mailing address

405A S Oxford Valley Rd
Fairless Hills, PA 19030-4202
Phone (267) 874-6000

Other practice location 1

1338 Bristol Pike Ste 203
Bensalem, PA 19020-5679
Phone (215) 633-9080

Other practice location 2

99 Lantern Dr Ste 1
Doylestown, PA 18901-1902
Phone (484) 793-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128000008 PA Practitioner - Physical Therapist in Private Practice 9739618398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JP Diamond Wellness CoGroup PAC ID 7618405903, 3 clinicians

Practice addresses (Care Compare)

405 A S Oxford Valley Rd
Fairless Hills, PA 19030-4202
Phone (267) 874-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028511PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbrina Enterprises, Inc. Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Cornerstone Physical Therapy Associates, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
JP Diamond Wellness Co Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients

Locations

1338 Bristol Pike
Ste 203
Bensalem, PA 19020
Phone (215) 633-9080

99 Lantern Dr
Ste 1
Doylestown, PA 18901
Phone (267) 880-6787

405 S Oxford Valley Rd
#A
Fairless Hls, PA 19030
Phone (267) 874-6000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1164016283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405A S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190304202",
            "telephone_number": "267-874-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405A S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "19030",
            "telephone_number": "267-874-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1338 Bristol Pike Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190205679",
            "country_code": "US",
            "telephone_number": "215-633-9080",
            "fax_number": "215-633-9915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Lantern Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189011902",
            "country_code": "US",
            "telephone_number": "484-793-6900",
            "fax_number": "484-379-0692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLA",
        "first_name": "NATALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "028511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.