Joel Atangan Balajadia, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7694 Issued in TN

Practice address

560 McClellan Rd
Jackson, TN 38305-9688

Phone

(731) 394-4390

NPI assigned

Nov 25, 2009

Sex

Male

Sole proprietor

No

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Edens Orthopaedic Center LTDGroup PAC ID 0345634697, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edens Orthopaedic Center LTD

  • Orthopaedic Surgery Physician
  • Lincolnwood, IL
  • NPI 1881358620

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1306174644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 MCCLELLAN RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383059688",
            "telephone_number": "731-394-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MCCLELLAN RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383059688",
            "telephone_number": "731-394-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAJADIA",
        "first_name": "JOEL",
        "middle_name": "ATANGAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-25",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Baker, CNA
• Cynthia Baker, CASE MANAGER
• Heather Marie Baker
• John Baker, MD
• Valerie Baker, LMSW
• Mark Baldwin, LPC-MHSP
• Michelle D. Baldwin, DNP, APRN, FNP-C
• John J Ball, MD
• Tawanna R Ballard
• Thomas Kelly Ballard III, MD

• All providers in Jackson, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.