Organization Active NPI

Balance Physical Therapy, LLC

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1336372283
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10002196 Issued in DE
Legal business name
BALANCE PHYSICAL THERAPY, LLC
Practice address
62 Rockford Rd
Suite 11B
Wilmington, DE 19806-1047
Phone
(302) 429-6252
Fax
(302) 429-6253
NPI assigned
Aug 26, 2009
Last updated
Oct 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Dr. Meredith Hershey Perny, PT, DPTNPI 1013041862
Title
Managing Member
Phone
(302) 429-6252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X J10002196 DE Primary

Addresses

Primary practice location

62 Rockford Rd
Suite 11B
Wilmington, DE 19806-1047

Mailing address

62 Rockford Rd
Suite 11B
Wilmington, DE 19806-1047
Phone (302) 429-6252

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, 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": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1336372283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 ROCKFORD RD",
            "address_2": "SUITE 11B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061047",
            "telephone_number": "302-429-6252",
            "fax_number": "302-429-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 ROCKFORD RD",
            "address_2": "SUITE 11B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061047",
            "telephone_number": "302-429-6252",
            "fax_number": "302-429-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "PERNY",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "HERSHEY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "302-429-6252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10002196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.