NPIMap

Organization Active NPI

Balanced Bodies LLC

  • Physical Therapy Clinic/Center
  • Oak Brook, IL
National Provider Identifier
1285944199
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070010605 Issued in IL
Legal business name
BALANCED BODIES LLC
Practice address
2001 Midwest Road
Suite 302
Oakbrook, IL 60523-1343
Phone
(630) 279-0032
Fax
(630) 279-1833
NPI assigned
Oct 13, 2010
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Ms. Meejung Jane Park, MPTNPI 1003914425
Title
Owner
Phone
(630) 748-9670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070010605 IL Primary

Addresses

Primary practice location

2001 Midwest Road
Suite 302
Oakbrook, IL 60523-1343

Mailing address

2001 Midwest Road
Suite 302
Oakbrook, IL 60523-1343
Phone (630) 279-0032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101202000163 IL Part B Supplier - Clinic/Group Practice 0244426286 Receives reassigned benefits from 2 practitioners
Practice locations: Oak Brook, IL

National Provider Directory

National Provider Directory

Locations

2001 Midwest Rd
Ste 302
Oak Brook, IL 60523
Phone (630) 620-9066

Practitioners & affiliated clinicians

Practitioners 3

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": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1285944199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MIDWEST ROAD",
            "address_2": "SUITE 302",
            "city": "OAKBROOK",
            "state": "IL",
            "postal_code": "605231343",
            "telephone_number": "630-279-0032",
            "fax_number": "630-279-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MIDWEST ROAD",
            "address_2": "SUITE 302",
            "city": "OAKBROOK",
            "state": "IL",
            "postal_code": "605231343",
            "telephone_number": "630-279-0032",
            "fax_number": "630-279-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MEEJUNG",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-748-9670",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070010605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.