Active NPI
Amelia Balale, PT, MS
- Pediatric Physical Therapist
- Mentor, OH
National Provider Identifier
1245655083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1867
- Practice address
- 7860 Johnnycake Ridge Rd
Ridge Middle School
Mentor, OH 44060 - Phone
- (440) 974-5409
- Fax
- (440) 974-5285
- NPI assigned
- Mar 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1867 | OH | Primary |
Addresses
Primary practice location
7860 Johnnycake Ridge Rd
Ridge Middle School
Mentor, OH 44060
Mailing address
6451 Center St.
Mentor Public Schools
Mentor, OH 44060
Phone (440) 255-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1867 | OH | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mentor Exempted Village School District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Mentor, OH
- NPI 1245550243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1245655083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6451 CENTER ST.",
"address_2": "MENTOR PUBLIC SCHOOLS",
"city": "MENTOR",
"state": "OH",
"postal_code": "44060",
"telephone_number": "440-255-4444",
"fax_number": "440-255-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7860 JOHNNYCAKE RIDGE RD",
"address_2": "RIDGE MIDDLE SCHOOL",
"city": "MENTOR",
"state": "OH",
"postal_code": "44060",
"telephone_number": "440-974-5409",
"fax_number": "440-974-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALALE",
"first_name": "AMELIA",
"name_prefix": "Ms.",
"credential": "PT, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-04",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "OH",
"license": "1867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.