Balancerehab and Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BALANCEREHAB AND PHYSICAL THERAPY LLC

Practice address

406A N Broad St
Elizabeth, NJ 07208-3365

Phone

(732) 397-2704

NPI assigned

Aug 14, 2020

Organization subpart

No

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

Authorized official

Name

Cinderella Abdullah, DPTNPI 1306269071

Title

Owner

Phone

(732) 397-2704

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Cinderella Abdullah

  • Physical Therapist
  • Rahway, NJ
  • NPI 1306269071
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1265043012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MINA DR APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406A N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083365",
            "telephone_number": "732-397-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCEREHAB AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "CINDERELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-397-2704",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Badrian, MS ED
• Sergio L. Baerga, M.D.
• Sana Baig, MD
• Philip Donald Baird, MSW LCSW
• Balance Qi Acupuncture LLC
• Reginald Balbin, LPN
• Peymaan Sam Banankhah, MD
• Khalid Osman Banga Jr.
• Banker Dental Associates, P.a.
• Jonathan Alan Banker, D.M.D.

• Physical Therapist in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.