Heidi Balow, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40417 Issued in CA

Practice address

1582 W San Marcos Blvd Ste 105B
San Marcos, CA 92078-4081

Phone

(650) 452-4110

NPI assigned

Feb 3, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bewell Home Physical Therapy P CGroup PAC ID 9335460351, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bewell Home Physical Therapy P C

  • Physical Therapy Clinic/Center
  • San Marcos, CA
  • NPI 1831582592
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1205640182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 ANGELL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 W SAN MARCOS BLVD STE 105B",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784081",
            "telephone_number": "650-452-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOW",
        "first_name": "HEIDI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "40417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balanced Beast Physical Therapy, Inc
• Zaldy L Balanquit I
• Richard Gonsalves Balelo Jr., P.T.
• Ashley Ball, LVN
• Brooke Laura Ballard, M.D.
• Jocielynn Baltazar, NP
• Yulisa Banderas
• David S Banks, D.D.S.
• Maria Banuelos
• Irma Sagrario Barajas Bobadilla

• Physical Therapy Clinic/Center in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.