Active NPI
Balance Prosthetics and Orthotics Inc
- Prosthetic/Orthotic Supplier
- Upper Chichester, PA
National Provider Identifier
1326317504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- CPO01938
- Legal business name
- BALANCE PROSTHETICS AND ORTHOTICS INC
- Practice address
- 3601 Chichester Ave
Suite 108
Upper Chichester, PA 19061-3149 - Phone
- (484) 489-1006
- Fax
- (484) 489-1001
- NPI assigned
- Dec 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Michalowski
- Title
- President
- Phone
- (215) 300-8873
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | CPO01938 | VA | Primary |
Addresses
Primary practice location
3601 Chichester Ave
Suite 108
Upper Chichester, PA 19061-3149
Mailing address
3601 Chichester Ave
Suite 108
Upper Chichester, PA 19061-3149
Phone (484) 489-1006
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102697184 0001 | Medicaid | PA | |
| 2258099 00 | Medicaid | MD | |
| 1326317504 | Medicaid | DE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438560000000",
"number": "1326317504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 CHICHESTER AVE",
"address_2": "SUITE 108",
"city": "UPPER CHICHESTER",
"state": "PA",
"postal_code": "190613149",
"telephone_number": "484-489-1006",
"fax_number": "484-489-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 CHICHESTER AVE",
"address_2": "SUITE 108",
"city": "UPPER CHICHESTER",
"state": "PA",
"postal_code": "190613149",
"telephone_number": "484-489-1006",
"fax_number": "484-489-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCE PROSTHETICS AND ORTHOTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-18",
"last_updated": "2015-08-03",
"status": "A",
"authorized_official_last_name": "MICHALOWSKI",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-300-8873"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "VA",
"license": "CPO01938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102697184 0001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2258099 00",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326317504",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upper Chichester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.