Individual provider Active NPI

Maria Teresa Balestra-Franchak, MSPT

  • Pediatric Physical Therapist
  • Coral Gables, FL
National Provider Identifier
1174709679
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT20759 Issued in FL
Practice address
1550 Mendavia Ave
Coral Gables, FL 33146-1610
Phone
(305) 297-5582
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT20759 FL Primary

Addresses

Primary practice location

1550 Mendavia Ave
Coral Gables, FL 33146-1610

Mailing address

1550 Mendavia Ave
Coral Gables, FL 33146-1610
Phone (305) 297-5582

Other names 1

  • Maria Teresa Balestra Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT20759FLMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1174709679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MENDAVIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461610",
            "telephone_number": "305-297-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MENDAVIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461610",
            "telephone_number": "305-297-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALESTRA-FRANCHAK",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT20759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "BALESTRA",
            "middle_name": "TERESA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.