NPIMap

Organization Active NPI

Balanced Therapy, LLC

  • Massage Therapist
  • Hamden, CT
National Provider Identifier
1417482746
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
008495 Issued in CT
Legal business name
BALANCED THERAPY, LLC
Practice address
60 Connolly Pkwy
Suite 203a
Hamden, CT 06514-2593
Phone
(203) 676-4678
NPI assigned
Apr 24, 2017
Last updated
Apr 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Carla Leanne Creech, LMTNPI 1790532034
Title
Owner
Phone
(203) 676-4678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 008495 CT Primary

Addresses

Primary practice location

60 Connolly Pkwy
Suite 203a
Hamden, CT 06514-2593

Mailing address

60 Connolly Pkwy
Suite 203a
Hamden, CT 06514-2593
Phone (203) 676-4678

National Provider Directory

National Provider Directory

Locations

60 Connolly Pkwy
Ste 203A
Hamden, CT 06514
Phone (203) 676-4678

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1417482746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CONNOLLY PKWY",
            "address_2": "SUITE 203A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142593",
            "telephone_number": "203-676-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CONNOLLY PKWY",
            "address_2": "SUITE 203A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142593",
            "telephone_number": "203-676-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-676-4678",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "008495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.