Organization Active NPI

Be Balanced PT

  • Physical Therapy Clinic/Center
  • Toms River, NJ
National Provider Identifier
1396564613
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BE BALANCED PT
Practice address
1311 Route 37 W Ste 5
Toms River, NJ 08755-5049
Phone
(609) 618-9041
NPI assigned
Oct 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Marissa Suzane Furka, PHYSICAL THERAPISTNPI 1477732543
Title
Owner/Physical Therapist
Phone
(609) 618-9041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1311 Route 37 W Ste 5
Toms River, NJ 08755-5049

Mailing address

907 Elwood St
Forked River, NJ 08731-1124
Phone (609) 618-9041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250102000221 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678000775 Receives reassigned benefits from 2 practitioners
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

1311 Route 37 W
Ste 5
Toms River, NJ 08755
Phone (732) 998-8965

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1396564613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 ELWOOD ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311124",
            "telephone_number": "609-618-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 ROUTE 37 W STE 5",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555049",
            "telephone_number": "609-618-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE BALANCED PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "FURKA",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "SUZANE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "609-618-9041",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.