NPIMap

Organization Active NPI

Balanced Body Physical Therapy, LLP

  • Physical Therapy Clinic/Center
  • Marquette, MI
National Provider Identifier
1346406915
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501003173 Issued in MI
Legal business name
BALANCED BODY PHYSICAL THERAPY, LLP
Practice address
1055 W Baraga Ave
Marquette, MI 49855-4068
Phone
(906) 226-0143
Fax
(906) 226-0152
NPI assigned
Aug 4, 2008
Last updated
Oct 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Mrs. Laurie Poseley Smith, PTNPI 1982809505
Title
Co-Owner
Phone
(906) 226-0143

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 Therapy Clinic/Center 261QP2000X 5501003173 MI Primary

Addresses

Primary practice location

1055 W Baraga Ave
Marquette, MI 49855-4068

Mailing address

1055 W Baraga Ave
Marquette, MI 49855-4068
Phone (906) 226-0143

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": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1346406915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 W BARAGA AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554068",
            "telephone_number": "906-226-0143",
            "fax_number": "906-226-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W BARAGA AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554068",
            "telephone_number": "906-226-0143",
            "fax_number": "906-226-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY PHYSICAL THERAPY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "POSELEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "906-226-0143",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501003173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.