Michael Ballentine, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

P80708 Issued in NY

Practice address

22122 Sherman Way
Canoga Park, CA 91303-1140

Phone

(818) 592-6030

NPI assigned

Aug 8, 2011

Last updated

Nov 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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 VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Rehab Zone, Inc.Group PAC ID 9234234535, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Rehab Zone, Inc.

  dba Rehab Zone

  • Physical Therapist
  • Saint Albans, VT
  • NPI 1144347204

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Moti Physiotherapy, Inc.

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1205477148
  NPD

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1245519313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 HILLHURST AVE",
            "address_2": "FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272711",
            "telephone_number": "323-912-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22122 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031140",
            "telephone_number": "818-592-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLENTINE",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "P80708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Baker
• Jonathan Baker
• Larry Baker
• Christina Balian
• Jason Ball
• Genelie Baltazar
• Stephanie Banda
• Bizhan Bandarchi Chamkhaleh, MD
• Arnold Bangchan
• Khotan Baniamam

• Orthopedic Physical Therapist in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.