Organization Active NPI

Balance Clinic Ocoee PLLC

Doing business as FYZICAL Therapy & Balance Centers

  • Physical Therapist
  • Ocoee, FL
National Provider Identifier
1215641980
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BALANCE CLINIC OCOEE PLLC
Doing business as
FYZICAL Therapy & Balance Centers
Practice address
1104 S Clarke Rd Ste 30
Ocoee, FL 34761-6878
Phone
(407) 401-9588
NPI assigned
Jan 9, 2023
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Travis A McHenry
Title
Authorized Representative/ Manager
Phone
(407) 401-9588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1104 S Clarke Rd Ste 30
Ocoee, FL 34761-6878

Mailing address

1104 S Clarke Rd Ste 30
Ocoee, FL 34761-6878
Phone (407) 401-9588

Other names 1

  • FYZICAL Therapy & Balance Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230515000032 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214393438 Receives reassigned benefits from 5 practitioners
Practice locations: Clermont, FL; Ocoee, FL

National Provider Directory

National Provider Directory

Locations

1104 S Clarke Rd
Ste 30
Ocoee, FL 34761
Phone (407) 401-9574

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1215641980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 S CLARKE RD STE 30",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616878",
            "telephone_number": "407-401-9588",
            "fax_number": "407-401-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 S CLARKE RD STE 30",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616878",
            "telephone_number": "407-401-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE CLINIC OCOEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "MCHENRY",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE/ MANAGER",
        "authorized_official_telephone_number": "407-401-9588"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.