NPIMap

Organization Active NPI

Body in Balance Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Palmer, AK
National Provider Identifier
1265525836
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BODY IN BALANCE PHYSICAL THERAPY INC
Practice address
642 S Alaska St Ste 209
Palmer, AK 99645-6378
Phone
(907) 746-0722
Fax
(907) 746-0732
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cathy Havins
Title
Office Manager
Phone
(907) 746-0722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

642 S Alaska St Ste 209
Palmer, AK 99645-6378

Mailing address

642 S Alaska St Ste 209
Palmer, AK 99645-6378
Phone (907) 746-0722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916000414 AK Part B Supplier - Clinic/Group Practice 9739156936 Receives reassigned benefits from 7 practitioners
Practice locations: Palmer, AK

National Provider Directory

National Provider Directory

Locations

642 S Alaska St
Ste 209
Palmer, AK 99645
Phone (907) 746-0722

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265525836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 S ALASKA ST STE 209",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456378",
            "telephone_number": "907-746-0722",
            "fax_number": "907-746-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 S ALASKA ST STE 209",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456378",
            "telephone_number": "907-746-0722",
            "fax_number": "907-746-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IN BALANCE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAVINS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-746-0722"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.