NPIMap

Organization Active NPI

Balance Physical Therapy Inc

  • Physical Therapist
  • West Wareham, MA
National Provider Identifier
1275822868
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BALANCE PHYSICAL THERAPY INC
Practice address
2360 Cranberry Hwy
West Wareham, MA 02576-1208
Phone
(508) 763-4025
NPI assigned
Apr 4, 2011
Last updated
Jul 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Meagan Smith
Title
Director
Phone
(508) 273-0190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2360 Cranberry Hwy
West Wareham, MA 02576-1208

Mailing address

PO Box 284
West Wareham, MA 02576-0284
Phone (508) 273-0190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110817000543 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648449165 Receives reassigned benefits from 3 practitioners
Practice locations: Brockton, MA; W Wareham, MA

National Provider Directory

National Provider Directory

Locations

365 Westgate Dr
#34
Brockton, MA 02301
Phone (508) 583-2121

Practitioners & affiliated clinicians

Practitioners 7

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": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1275822868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "WEST WAREHAM",
            "state": "MA",
            "postal_code": "025760284",
            "telephone_number": "508-273-0190",
            "fax_number": "508-273-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 CRANBERRY HWY",
            "city": "WEST WAREHAM",
            "state": "MA",
            "postal_code": "025761208",
            "telephone_number": "508-763-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-273-0190"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.