Body in Balance Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT882 Issued in ME

Legal business name

BODY IN BALANCE PHYSICAL THERAPY INC

Practice address

21 Bradeen Street Suite 304
Springvale, ME 04083

Phone

(207) 324-3745

Fax

(207) 324-3745

NPI assigned

Nov 30, 2007

Last updated

May 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Hodson Beauchesne, DPTNPI 1659317451

Title

Physical Therapist

Phone

(207) 324-3745

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

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.

• Laura H Beauchesne, DPT

  • Physical Therapist
  • Sanford, ME
  • NPI 1659317451
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1225210396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040830015",
            "telephone_number": "207-324-3745",
            "fax_number": "207-324-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BRADEEN STREET SUITE 304",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "04083",
            "telephone_number": "207-324-3745",
            "fax_number": "207-324-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IN BALANCE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "BEAUCHESNE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "HODSON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "207-324-3745",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "650023920",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "041334",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Marie Deruscio Belleard, LCPC
• Kelley Bernard
• Jeanette Bernardo
• Jonathan Berube, LMFT, CCS, SAP
• Melissa Bicknell, FNP-C
• Adam J Boisvert, LCSW
• Marianne Borgo-Ledue, LCPC
• Isabel Anna Bowe I
• Brock Health Inc
• Brock Lodges LLC (The Lodges Assisted Living)

• Physical Therapist in Springvale, ME
• Providers in Springvale, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.