Organization Active NPI

Balanced Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Colleyville, TX
National Provider Identifier
1477457638
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BALANCED PHYSICAL THERAPY, LLC
Practice address
3930 Glade Rd Ste 124
Colleyville, TX 76034-5932
Phone
(817) 886-3783
Fax
(817) 438-7776
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Mr. Twitch Chadwick Bracken
Title
Manager
Phone
(817) 385-9316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

3930 Glade Rd Ste 124
Colleyville, TX 76034-5932

Mailing address

3930 Glade Rd Ste 124
Colleyville, TX 76034-5932
Phone (817) 886-3783

Other practice location 1

409 N Oak St Ste 220
Roanoke, TX 76262-6312
Phone (682) 502-4440

Other practice location 2

3051 Churchill Dr Ste 250
Flower Mound, TX 75022-5904
Phone (469) 455-1646

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1477457638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 GLADE RD STE 124",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345932",
            "telephone_number": "817-886-3783",
            "fax_number": "817-438-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 GLADE RD STE 124",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345932",
            "telephone_number": "817-886-3783",
            "fax_number": "817-438-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 N Oak St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "TX",
            "postal_code": "762626312",
            "country_code": "US",
            "telephone_number": "682-502-4440",
            "fax_number": "682-502-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3051 Churchill Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750225904",
            "country_code": "US",
            "telephone_number": "469-455-1646",
            "fax_number": "469-455-1746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "BRACKEN",
        "authorized_official_first_name": "TWITCH",
        "authorized_official_middle_name": "CHADWICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-385-9316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.