Adrienne Danette Balboni

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

12 SE 12TH St
Fort Lauderdale, FL 33316-1845

Phone

(954) 542-6819

Fax

(954) 889-1286

NPI assigned

Nov 3, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Optimum HealthCare HMO Network

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.

• Holy Cross Hospital, Inc

  • Health & Wellness Coach
  • Oakland Park, FL
  • NPI 1063207595
  NPD (past)

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1265033773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 SW 22ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333176649",
            "telephone_number": "850-398-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SE 12TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161845",
            "telephone_number": "954-542-6819",
            "fax_number": "954-889-1286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4371 SW 22nd St",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333176649",
            "country_code": "US",
            "telephone_number": "850-398-3907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALBONI",
        "first_name": "ADRIENNE",
        "middle_name": "DANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laya Jeebo Balakrishnan
• Balance Integrative Medicine LLC
• Balancing Health LLC
• William L Balanoff, D.D.S.
• Ania Balanza
• Sergio Balcazar Jr., L.M.F.T.
• Gaby Balda Taylor, PT
• Jose Baldriche
• Jillian Claire Baldwin, PSY.D.
• Ashley Danielle Baldyga

• Physical Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.