Ohio Vestibular & Balance Centers Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OHIO VESTIBULAR & BALANCE CENTERS INC

Doing business as

Balance and Body Rehab

Practice address

3335 Meijer Dr
Toledo, OH 43617-3104

Phone

(419) 841-3477

Fax

(419) 841-3434

NPI assigned

May 18, 2006

Last updated

May 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laurie Livingston, PTNPI 1326091091

Title

Co-Owner Physical Therapist

Phone

(419) 841-3477

Specialties & licenses 1

Addresses

Other names 1

• Balance and Body Rehab Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366495897. Details of each certification follow.

• CCN 366742 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 366742

Legal name

OHIO VESTIBULAR AND BALANCE CENTERS

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Sep 11, 2006

Last certification

Jul 31, 2018

Ownership / control type

Proprietary

Facility address

3335 Meijer Drive, Suite 400
Toledo, OH 43617

Locations

Practitioners 2

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.

• Laurie Ann Livingston, PT

  • Physical Therapist
  • Toledo, OH
  • NPI 1326091091
  NPD (past) Authorized official
• Daslyn Harris

  • Physical Therapist
  • Toledo, OH
  • NPI 1043263577
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1366495897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "43528",
            "telephone_number": "419-841-3477",
            "fax_number": "419-841-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 MEIJER DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436173104",
            "telephone_number": "419-841-3477",
            "fax_number": "419-841-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VESTIBULAR & BALANCE CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CO-OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "419-841-3477",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance and Body Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Toledo, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.