NPIMap

Organization Active NPI

Adventures in Balance, LLC

  • Physical Therapy Clinic/Center
  • Roswell, GA
National Provider Identifier
1437438801
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT007668 Issued in GA
Legal business name
ADVENTURES IN BALANCE, LLC
Practice address
45 W Crossville Rd
Suite 514
Roswell, GA 30075-2964
Phone
(770) 642-9444
Fax
(855) 223-5662
NPI assigned
Aug 16, 2011
Last updated
Jun 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Ms. Denise M Powell, PTNPI 1154523678
Title
Owner
Phone
(770) 642-9444

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
Physical Therapy Clinic/Center 261QP2000X PT007668 GA Primary

Addresses

Primary practice location

45 W Crossville Rd
Suite 514
Roswell, GA 30075-2964

Mailing address

45 W Crossville Rd
Suite 514
Roswell, GA 30075-2964
Phone (770) 642-9444

Other identifiers 1

IdentifierTypeStateIssuer
282006299DMedicaidGA

National Provider Directory

National Provider Directory

Locations

45 W Crossville Rd
Ste 514
Roswell, GA 30075
Phone (770) 642-9444

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": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1437438801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W CROSSVILLE RD",
            "address_2": "SUITE 514",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752964",
            "telephone_number": "770-642-9444",
            "fax_number": "855-223-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W CROSSVILLE RD",
            "address_2": "SUITE 514",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752964",
            "telephone_number": "770-642-9444",
            "fax_number": "855-223-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURES IN BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-642-9444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT007668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282006299D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.