Balanced Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BALANCED THERAPY LLC

Practice address

622 Mountain Village Blvd Ste 102
Mountain Village, CO 81435-9505

Phone

(970) 728-8948

Fax

(970) 728-8953

NPI assigned

May 3, 2007

Last updated

Nov 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Derek C Tuohy, MSPTNPI 1134223316

Title

Owner Physical Therapist

Phone

(970) 708-4042

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 5

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.

• Derek C Tuohy, MSPT, CSCS

  • Physical Medicine & Rehabilitation Physician
  • Mountain Village, CO
  • NPI 1134223316
  Medicare reassignment Care Compare group NPD Authorized official
• Brandon Tran, DPT

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1790569176

  CO

  Medicare reassignment Care Compare group NPD
• Jennifer Sullivan Bullock, PT, DPT

  • Physical Therapist
  • Mountain Village, CO
  • NPI 1164907986
  NPD
• Kimberly D Schmidt, O.T.

  • Occupational Therapist
  • Olathe, CO
  • NPI 1659437077
  NPD (past)
• Danae Hays

  • Physical Therapist
  • Port Orange, FL
  • NPI 1619256211
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1164644605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2228",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814352228",
            "telephone_number": "970-708-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 MOUNTAIN VILLAGE BLVD STE 102",
            "city": "MOUNTAIN VILLAGE",
            "state": "CO",
            "postal_code": "814359505",
            "telephone_number": "970-728-8948",
            "fax_number": "970-728-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "TUOHY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "970-708-4042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sullivan Bullock, PT, DPT
• Transformation Therapeutics, PLLC
• Derek C Tuohy, MSPT, CSCS

• Physical Therapy Clinic/Center in Mountain Village, CO
• Providers in Mountain Village, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.