Organization Active NPI

Back-N-Balance Physical Therapy and Rehab Specialists

  • Physical Therapist
  • Evanston, IL
National Provider Identifier
1245243880
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BACK-N-BALANCE PHYSICAL THERAPY AND REHAB SPECIALISTS
Practice address
2934 Central St
Suite 2C
Evanston, IL 60201-1296
Phone
(847) 424-0130
Fax
(847) 424-0127
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Larry BriandNPI 1275573198
Title
Co-Owner
Phone
(877) 552-2996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X IL Primary

Addresses

Primary practice location

2934 Central St
Suite 2C
Evanston, IL 60201-1296

Mailing address

PO Box 3497
Sturtevant, WI 53177-0300
Phone (877) 552-2996

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1245243880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3497",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531770300",
            "telephone_number": "877-552-2996",
            "fax_number": "866-245-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 CENTRAL ST",
            "address_2": "SUITE 2C",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011296",
            "telephone_number": "847-424-0130",
            "fax_number": "847-424-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK-N-BALANCE PHYSICAL THERAPY AND REHAB SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "BRIAND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "877-552-2996"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.