Organization Active NPI

Balanced Body Connections, LLC

  • Physical Therapist
  • Spring Green, WI
National Provider Identifier
1306043054
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4129 AND 4203 Issued in WI
Legal business name
BALANCED BODY CONNECTIONS, LLC
Practice address
208 North Winsted Street
Spring Green, WI 53588
Phone
(608) 341-9881
NPI assigned
Jun 27, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Mr. Steven George McCarthy, PTNPI 1790984599
Title
Registered Agent of LLC
Phone
(608) 935-0687

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 Therapist 225100000X 4129 AND 4203 WI Primary

Addresses

Primary practice location

208 North Winsted Street
Spring Green, WI 53588

Mailing address

4329 Green Leaf Dr
Dodgeville, WI 53533-8966
Phone (608) 935-0687

National Provider Directory

National Provider Directory

Locations

208 N Winsted St
Spring Green, WI 53588
Phone (608) 341-9881

Practitioners & affiliated clinicians

Practitioners 2

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1306043054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4329 GREEN LEAF DR",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535338966",
            "telephone_number": "608-935-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 NORTH WINSTED STREET",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "53588",
            "telephone_number": "608-341-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "REGISTERED AGENT OF LLC",
        "authorized_official_telephone_number": "608-935-0687",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4129 AND 4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Green, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.