Tracy C Balangue, OTD, OTR/L, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT 6188 Issued in CA

Practice address

6462 W 86TH PL
Los Angeles, CA 90045-3745

Phone

(310) 666-2681

NPI assigned

Sep 14, 2006

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Female

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adi Rehab, Incorporated

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1104850197
  NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1316042971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6462 W 86TH PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453745",
            "telephone_number": "310-216-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6462 W 86TH PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453745",
            "telephone_number": "310-666-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALANGUE",
        "first_name": "TRACY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L,  CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 6188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazaret Balamutyan, RVT
• Corneliu Balan
• Balance Therapy & Acupuncture Inc
• Balance, a Licensed Clinical Social Worker Professional Corporation
• Jesus David Balandrano Ramirez
• Mariam Vasilyevna Balasanyan, PSY.D
• Kirra Balasbas
• Satish Balasubramanian, M.D.
• Shyamasundar Balasubramanya, M.D.
• Dulshani Gavesha Balasuriya Arachchi, CCC-SLP

• Hand Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.