Organization Active NPI

The Body-N-Balance Physical Therapy Inc

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1184924912
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE BODY-N-BALANCE PHYSICAL THERAPY INC
Practice address
3980 Southside Blvd BLDG 1
Suite 103
Jacksonville, FL 32216-6611
Phone
(904) 645-6529
Fax
(904) 645-6540
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Rose Marie Allen
Title
Director
Phone
(904) 645-6529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3980 Southside Blvd BLDG 1
Suite 103
Jacksonville, FL 32216-6611

Mailing address

4734 Cardinal Blvd
Jacksonville, FL 32210-1908
Phone (904) 645-6529

National Provider Directory

National Provider Directory
Tax ID family
The Body-N-Balance Physical Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3980 Southside Blvd
Ste 103
Jacksonville, FL 32216
Phone (904) 645-6529

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1184924912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 CARDINAL BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101908",
            "telephone_number": "904-645-6529",
            "fax_number": "904-645-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SOUTHSIDE BLVD BLDG 1",
            "address_2": "SUITE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166611",
            "telephone_number": "904-645-6529",
            "fax_number": "904-645-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BODY-N-BALANCE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-645-6529"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.