Melissa J Balvanz, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2089 Issued in AK

Practice address

3065 College Rd
Fairbanks, AK 99709-3702

Phone

(907) 374-1686

Fax

(907) 374-1659

NPI assigned

Aug 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hands on Therapy, Inc

  • Rehabilitation Clinic/Center
  • Fairbanks, AK
  • NPI 1245596162

  Occupational Therapist

  NPD Authorized official

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1376776088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 COLLEGE RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093702",
            "telephone_number": "907-374-1686",
            "fax_number": "907-799-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 COLLEGE RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093702",
            "telephone_number": "907-374-1686",
            "fax_number": "907-374-1659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "837 Chief Eddie Hoffman Hwy",
            "address_2": "Attention: BH FIT program",
            "address_purpose": "LOCATION",
            "city": "Bethel",
            "state": "AK",
            "postal_code": "995590528",
            "country_code": "US",
            "telephone_number": "907-543-3690",
            "fax_number": "907-543-1276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALVANZ",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "2089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002573",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorraine Margaret Ball, RPH
• Ballaine Psychological Services Inc
• Margaret Dublin Ballard
• Rosa Ballard, LPN
• Tawanda Betty Ballard
• Flor M Banks, LMT, CMT
• Banner Health
• Banner Health Physicians Alaska LLC
• Banner Home Care-Arizona
• Banner Home Medical Equipment

• Occupational Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.