Individual provider Active NPI

Janis Sherer Ballard, PT

  • Physical Therapist
  • Bradenton, FL
National Provider Identifier
1457444341
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13968 Issued in FL
Practice address
2215 59TH St W
Bradenton, FL 34209-7017
Phone
(941) 761-4994
NPI assigned
Oct 2, 2006
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT13968 FL Primary

Addresses

Primary practice location

2215 59TH St W
Bradenton, FL 34209-7017

Mailing address

12343 Hollybush Terrace
Lakewood Ranch, FL 34202-2035
Phone (941) 753-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT13968FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Well Body Clinic Inc Physical Therapist Past Accepting new patients
Neuromuscular Therapy Center Inc Physical Therapist Past Accepting new patients
Garner Physical Therapy Center LLC Physical Therapist PastSince Sep 1, 2003 Accepting new patients
Hart Physical Therapy LLC Physical Therapist PastSince Jul 15, 2008 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1457444341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12343 HOLLYBUSH TERRACE",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022035",
            "telephone_number": "941-753-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097017",
            "telephone_number": "941-761-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "JANIS",
        "middle_name": "SHERER",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT13968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.