Organization Active NPI

Perfect Balance Physical Therapy

  • Physical Therapy Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1346486370
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PERFECT BALANCE PHYSICAL THERAPY
Practice address
876 Selby Ave
Saint Paul, MN 55104-6529
Phone
(612) 366-4069
NPI assigned
Dec 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Mr. Terrence Large
Title
President
Phone
(612) 366-4069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

876 Selby Ave
Saint Paul, MN 55104-6529

Mailing address

876 Selby Ave
Saint Paul, MN 55104-6529
Phone (612) 366-4069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1346486370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046529",
            "telephone_number": "612-366-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046529",
            "telephone_number": "612-366-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT BALANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "LARGE",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-366-4069",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.