Vic Guerrero Balaoing, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028539 Issued in NY

Practice address

930 Sheridan Ave Ste 5
Bronx, NY 10451-3339

Phone

(718) 942-5133

Fax

(718) 942-5134

NPI assigned

Feb 27, 2008

Last updated

Mar 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Function in Motion Physical Therapy PC

  • Physical Therapist
  • Bronx, NY
  • NPI 1316331200
  Medicare reassignment Authorized official
• Allmed Solutions

  • Other Specialist/Technologist
  • Bronx, NY
  • NPI 1902264104
  NPD (past)
• Kinetorehab Physical Therapy PLLC

  • Physical Therapist
  • Bronx, NY
  • NPI 1811271299
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1336318062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770309",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113770309",
            "telephone_number": "718-942-5133",
            "fax_number": "718-942-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SHERIDAN AVE STE 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513339",
            "telephone_number": "718-942-5133",
            "fax_number": "718-942-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAOING",
        "first_name": "VIC",
        "middle_name": "GUERRERO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1316331200",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336318062",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03374870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doraikannu Balakumar, M.D.
• Balance Counseling Services LCSW PLLC
• Balance Medical Professional Primary Services PLLC
• Balanced Body Physical Therapy PLLC
• Balanced Occupational Therapy PC
• Bhavna N Balar, M.D.
• Nilesh N Balar, M.D.
• Tushar Pravinbhai Balar
• Jeya Balasubramanian, PA
• Krishnamurthy Balasubramanian, M.D.

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.