Balanced by Katie Physical Therapy Yoga & Wellness

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

BALANCED BY KATIE PHYSICAL THERAPY YOGA & WELLNESS

Doing business as

Balanced by Katie

Practice address

404 Calle Campanero
San Clemente, CA 92673-6504

Phone

(973) 723-2651

NPI assigned

Jul 8, 2022

Last updated

Feb 25, 2024By 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

Katharyn T D'Amato, DPTNPI 1518291392

Title

Owner

Phone

(973) 723-2651

Specialties & licenses 1

Addresses

Other names 1

• Balanced by Katie Doing business as

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.

• Katharyn D'Amato, DPT

  • Physical Therapist
  • San Clemente, CA
  • NPI 1518291392
  NPD Authorized official

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708819200000",
    "number": "1396478087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CALLE CAMPANERO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736504",
            "telephone_number": "973-723-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CALLE CAMPANERO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736504",
            "telephone_number": "973-723-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BY KATIE PHYSICAL THERAPY YOGA & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A",
        "authorized_official_last_name": "D'AMATO",
        "authorized_official_first_name": "KATHARYN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-723-2651",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced by Katie",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Balanced by Katie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Bailey-Tuder, CMT
• Randy Baird, MS
• Jill Baker
• Judith Marie Baker
• Karen Ann Baker, SLPA
• Nathan J Balfanz, PSY.D.
• Patrick Banas
• Jessica Bancroft, DPT
• Ray Allen Banda
• Molly Katherine Banks, LCSW

• Orthopedic Physical Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2024; 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.