NPIMap

Organization Active NPI

Balanced Body Gainesville Inc

  • Physical Medicine & Rehabilitation Physician
  • Gainesville, FL
National Provider Identifier
1326002387
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BALANCED BODY GAINESVILLE INC
Practice address
4880 W. Newberry Rd
Suite 180
Gainesville, FL 32607-6652
Phone
(352) 331-3161
Fax
(352) 336-2475
NPI assigned
Apr 14, 2006
Last updated
Aug 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Lee Auerbach
Title
President/Administrator
Phone
(352) 331-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

4880 W. Newberry Rd
Suite 180
Gainesville, FL 32607-6652

Mailing address

4880 W. Newberry Rd
Suite 180
Gainesville, FL 32607-6652
Phone (352) 331-3161

Other identifiers 1

IdentifierTypeStateIssuer
Y901EOtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000795 FL Part B Supplier - Clinic/Group Practice 1557260411 Receives reassigned benefits from 3 practitioners
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory

Locations

100 SW 75th St
Ste 106
Gainesville, FL 32607
Phone (352) 331-9344

108 NW 76th Dr
Ste A
Gainesville, FL 32607
Phone (352) 331-3161

3909 Newberry Rd
Ste D
Gainesville, FL 32607
Phone (352) 331-3161

4880 Newberry Rd
Ste 180
Gainesville, FL 32607
Phone (352) 331-3161

Practitioners & affiliated clinicians

Practitioners 11

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": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1326002387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 W. NEWBERRY RD",
            "address_2": "SUITE 180",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076652",
            "telephone_number": "352-331-3161",
            "fax_number": "352-336-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 W. NEWBERRY RD",
            "address_2": "SUITE 180",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076652",
            "telephone_number": "352-331-3161",
            "fax_number": "352-336-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY GAINESVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "AUERBACH",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "352-331-3161"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y901E",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.