Jason P Balogh, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013903L Issued in PA

Practice address

3010 W Lake Rd
Erie, PA 16505-3849

Phone

(814) 833-2022

Fax

(814) 838-1223

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seth Enterprises II LLCGroup PAC ID 8224940531, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Seth Enterprises II LLC

  • Physical Therapist
  • Erie, PA
  • NPI 1841300654
  Medicare reassignment Care Compare group NPD
• Seth Enterprises I

  • Physical Therapist
  • Erie, PA
  • NPI 1205946910
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396796876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 LEAH DR",
            "city": "GIRARD",
            "state": "PA",
            "postal_code": "164177525",
            "telephone_number": "814-774-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 W LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053849",
            "telephone_number": "814-833-2022",
            "fax_number": "814-838-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOGH",
        "first_name": "JASON",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT008837",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013903L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Balkovic
• Ball Pavilion Inc
• Jason C Ball, DO
• Paula Ballarin, M.D.
• Gregory Bruce Ballengee, MD
• Katelyn Marie Balogh
• Michael Balsan
• Matthew Jesse Bambino, DO
• Jennifer Rose Banak, LCSW
• Kelsey Ann Baney, M.S., CCC-SLP

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.