Organization Active NPI

Personal Wellness Physical Therapy, LLC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1174394142
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PERSONAL WELLNESS PHYSICAL THERAPY, LLC
Practice address
10429 S 51St St Ste 206
Phoenix, AZ 85044-5237
Phone
(480) 485-6574
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Dr. Kathryn Mary Balgeman, PT, DPTNPI 1013468552
Title
Owner
Phone
(804) 856-5744

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10429 S 51St St Ste 206
Phoenix, AZ 85044-5237

Mailing address

10429 S 51St St Ste 206
Phoenix, AZ 85044-5237
Phone (480) 485-6574

Other names 1

  • Personal Wellness Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

10429 S 51st St
Ste 206
Phoenix, AZ 85044
Phone (480) 485-6574

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1174394142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10429 S 51ST ST STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445237",
            "telephone_number": "480-485-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10429 S 51ST ST STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445237",
            "telephone_number": "480-485-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL WELLNESS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "BALGEMAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-856-5744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Wellness Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.