Abigail Ballance
Individual provider Active NPI Physical Therapy Assistant · New Bern, NC
NPI 1205607017 · NPPES record last updated Jan 10, 2024
Key facts
- NPI
- 1205607017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A7575 (NC)
- Practice address
- 2000 Neuse Blvd
New Bern, NC 28560-3449 - Phone
- (252) 633-8111
- NPI assigned
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A7575 | NC | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A7575 | NC | Yes |
Addresses
Primary practice location
2000 Neuse Blvd
New Bern, NC 28560-3449
Mailing address
2000 Neuse Blvd
New Bern, NC 28560-3449
NPI Registry JSON
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1205607017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603449",
"telephone_number": "252-633-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLANCE",
"first_name": "ABIGAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A7575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
- Anna Burke Baird
- Danielle Baker
- Martin Neal Baker
- Rachel Marie Baker
- Wendy Lynne Baker
- Djanell Ballard
- Harry Hampton Ballard
- Mary Upchurch Ballard
- Jennifer Ballinger
- Lisa E Banker
All providers in New Bern, NC · Physical Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.