Organization Active NPI

Balance Prosthetics and Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Upper Chichester, PA
National Provider Identifier
1326317504
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CPO01938 Issued in VA
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

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Christopher MichalowskiNPI 1861760787
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102697184 0001MedicaidPA
2258099 00MedicaidMD
1326317504MedicaidDE

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.