Individual provider Active NPI

Michael Ball, PT

  • Physical Therapist
  • Vashon, WA
National Provider Identifier
1326047267
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60117577 Issued in WA
Practice address
9929 SW Bank Rd Ste 101
Vashon, WA 98070-5014
Phone
(206) 567-7740
Fax
(206) 567-7741
NPI assigned
Jul 21, 2005
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18175 FL
Physical Therapist 225100000X PT60117577 WA Primary

Addresses

Primary practice location

9929 SW Bank Rd Ste 101
Vashon, WA 98070-5014

Mailing address

13104 SW 220TH St
Vashon, WA 98070-6334
Phone (206) 567-7740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000700 WA Practitioner - Physical Therapist in Private Practice 0648311787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ball Sports Performance and Physical Therapy PLLCGroup PAC ID 2567898380, 2 clinicians

Practice addresses (Care Compare)

9929 SW Bank Rd
Suite 101
Vashon, WA 98070-5014
Phone (206) 567-7740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18175FLMDPhysical Therapist
PT60117577WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ball Sports Performance and Physical Therapy PLLC Physical Therapist CurrentSince Aug 27, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1326047267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13104 SW 220TH ST",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980706334",
            "telephone_number": "206-567-7740",
            "fax_number": "206-567-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9929 SW BANK RD STE 101",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980705014",
            "telephone_number": "206-567-7740",
            "fax_number": "206-567-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "18175",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60117577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vashon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.