Balance Therapy Portland Maine LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BALANCE THERAPY PORTLAND MAINE LLC

Practice address

91 Auburn St. Ste. U
Portland, ME 04103

Phone

(207) 245-5883

NPI assigned

Jun 26, 2023

Organization subpart

No

Name

Mr. Rupert Russell Pearce

Title

Partner Owner

Phone

(207) 245-5883

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Lee Carroll, DPT

  • Physical Therapist
  • Saco, ME
  • NPI 1134764020

  ME, Physical Therapist

  Medicare reassignment NPD
• Jenna Palazzolo, AU.D., CCC-A

  • Audiologist
  • Portland, ME
  • NPI 1932588431
  NPD
• Elizabeth Campos Pearce, M.D.

  • Otolaryngology Physician
  • Portland, ME
  • NPI 1720221401
  NPD
• Katelyn Jean Hughes Rolfson, M.S., CFY-SLP

  • Speech-Language Pathologist
  • Lewiston, ME
  • NPI 1134401813
  NPD
• Adarsh Vasanth, M.D.

  • Otolaryngology Physician
  • Portland, ME
  • NPI 1053433045
  NPD

Medicare fee-for-service enrollment

Enrolled in ME

Locations

• FYZICAL FALMOUTH Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2023.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1306522255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 AUBURN ST. STE. U",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04103",
            "telephone_number": "207-245-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 AUBURN ST. STE. U",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04103",
            "telephone_number": "207-245-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE THERAPY PORTLAND MAINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "RUPERT",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "207-245-5883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL FALMOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Joseph Baker, LMT
• Meredith Baker
• Nicholas Ryan Baker
• Sean Christopher Baker, DNP
• Sue Anne Baker, LMT
• Angela Nicole Balaoing
• Joshua Baruch Baldino, MD
• Jennifer L Baldwin
• Jeffrey A Balke, MD
• Jeffrey A Ball, MD

• All providers in Portland, ME
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.