Back to Balance Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BACK TO BALANCE PHYSICAL THERAPY LLC

Practice address

545 Hooksett Rd Unit 20
Manchester, NH 03104-2654

Phone

(603) 232-5186

Fax

(603) 622-3199

NPI assigned

Nov 24, 2020

Last updated

Jan 3, 2023By 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

Dr. Kelly Susan Hebert-Ruggio, DPTNPI 1790794493

Title

Owner/Physical Therapist

Phone

(603) 232-5186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 2

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.

• Kelly Susan Hebert-Ruggio, DPT

  • Physical Therapist
  • Manchester, NH
  • NPI 1790794493
  Medicare reassignment Care Compare group NPD Authorized official
• Lea Crompton, PT, DPT

  • Physical Therapist
  • Manchester, NH
  • NPI 1013897339
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1255935888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 HOOKSETT RD UNIT 20",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042654",
            "telephone_number": "603-232-5186",
            "fax_number": "603-622-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 HOOKSETT RD UNIT 20",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042654",
            "telephone_number": "603-232-5186",
            "fax_number": "603-622-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BALANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "HEBERT-RUGGIO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "603-232-5186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Manchester, NH
• Providers in Manchester, NH by specialty
• Physical Therapy Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.