Balance Physical Therapy and Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BALANCE PHYSICAL THERAPY AND WELLNESS

Practice address

401 Seacoast Pkwy Unit D
Mount Pleasant, SC 29464-8263

Phone

(843) 969-2201

Fax

(843) 969-2202

NPI assigned

Mar 10, 2023

Organization subpart

No

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

Authorized official

Name

Allison Brooks RobertsNPI 1215122189

Title

Owner

Phone

(843) 693-5660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Brooks Roberts, PT, MSR

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1215122189
  Medicare reassignment Care Compare group NPD Authorized official
• Alison Morris Schryver, PT, DPT

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1003199209
  Medicare reassignment Care Compare group
• Dana Richards Hodges, PT, DPT

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1265925002
  Medicare reassignment NPD
• Tine Dynjan Livesay, PT

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1710439542
  Medicare reassignment NPD
• Heather Jackson Thompson, PT, DPT, GCS

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1033494877
  NPD (past)

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1457052144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SEACOAST PKWY UNIT D",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648263",
            "telephone_number": "843-969-2201",
            "fax_number": "843-969-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SEACOAST PKWY UNIT D",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648263",
            "telephone_number": "843-969-2201",
            "fax_number": "843-969-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-693-5660"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Baker, PA
• Matthew Bryan Baker, M.D.
• Megan Keeffe Baker, MD
• Nancy B Baker, RN, NCSN
• Janean Balach
• Balanced Behavioral Solutions, LLC
• Balanced Life Counseling, LLC
• Agnieszka Balawender
• Sharon Vinson Balcome, PH.D.
• Balderson Speech Services, LLC

• Physical Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.