Earl Balbuena Eleccion, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2006015792 Issued in MO

Practice address

214 W 5TH St
Suite D & E
Joplin, MO 64801-2501

Phone

(417) 782-2917

Fax

(417) 782-7038

NPI assigned

Aug 6, 2007

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1285825067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 CHAPARRALL CREEK DR",
            "address_2": "APT 2602",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423959",
            "telephone_number": "417-437-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 5TH ST",
            "address_2": "SUITE D & E",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012501",
            "telephone_number": "417-782-2917",
            "fax_number": "417-782-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELECCION",
        "first_name": "EARL",
        "middle_name": "BALBUENA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006015792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Edward Eisenhauer, D.O.
• Jacob Eisenhauer
• Raymond N Eisenmann, CRNA
• Noureddine El Moghrabi, MD
• Haidy Samuel Elbiady, MD
• Mary Carmel Elizon, OTR
• Essam Elkady, MD
• Omnia I Elkoush, DO
• Alex Elliott
• Elijah Patrick Elliott, DO

• Physical Therapist in Joplin, MO
• Providers in Joplin, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.