Active NPI
In Balance Physical Therapy
- Physical Therapy Clinic/Center
- St Augustine, FL
National Provider Identifier
1457049231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- IN BALANCE PHYSICAL THERAPY
- Practice address
- 84 Theatre Dr Ste 500
St Augustine, FL 32086-3131 - Phone
- (904) 770-2552
- NPI assigned
- Apr 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph R Verna, DC
- Title
- Administrator
- Phone
- (484) 459-0780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
84 Theatre Dr Ste 500
St Augustine, FL 32086-3131
Mailing address
84 Theatre Dr Ste 500
St Augustine, FL 32086-3131
Phone (904) 770-2552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230725004232 | FL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1254792112 |
Receives reassigned benefits from 1 practitioner Practice locations: St Augustine, FL |
National Provider Directory
National Provider DirectoryLocations
84 Theatre Dr
Ste 500
St Augustine, FL 32086
Phone (904) 222-6440
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- St Augustine, FL
- NPI 1699716092
FL, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682640000000",
"number": "1457049231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 THEATRE DR STE 500",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320863131",
"telephone_number": "904-770-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 THEATRE DR STE 500",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320863131",
"telephone_number": "904-770-2552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN BALANCE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-28",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A",
"authorized_official_last_name": "VERNA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "484-459-0780",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- Icare Medical Transportation LLC
- Idalia Montanez Miranda PLLC
- Iest. Augustine Youth Services
- Impactful Speech Therapy and Coaching LLC
- Melissa Marie Impallomeni, NP-C
- In Motion Physical Therapy LLC
- Infectious Disease Doctor
- Infectious Diseases Associates of North Florida, P.a.
- Innovo Chiropractic LLC
- Institute of Internal Medicine P a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.