Balance RX, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BALANCE RX, LLC

Practice address

7190 17TH St
Vero Beach, FL 32966

Phone

(772) 321-0161

NPI assigned

Oct 21, 2021

Last updated

Oct 28, 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

Ann Cecile Triebner Derosa, PTNPI 1417222563

Title

Owner

Phone

(772) 321-0161

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Ann Derosa, PT

  • Physical Therapist
  • Vero Beach, FL
  • NPI 1417222563
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1447913975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7190 17TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329661290",
            "telephone_number": "772-321-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 17TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32966",
            "telephone_number": "772-321-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "CECILE TRIEBNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-321-0161",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "inperson",
            "affiliation": "N",
            "endpointDescription": "inperson",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "inperson",
            "address_1": "7190 17th St",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary S Baker, DO
• Nancy Michele Baker, M.D.
• Seth H Baker, DO
• Marina Bakhet
• Paul T Bakule, M.D. P A
• William Ballough
• Ballout International PLLC (Evolutionary Healthcare)
• Hussien A Ballout, M.D.
• Junia Balthazar, FNP-BC
• Witni Balthazar, M.D.

• Physical Therapist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.