Active NPI
Balanced Physical Therapy, LLC
- Physical Therapy Clinic/Center
- Colleyville, TX
National Provider Identifier
1477457638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, 2026
- 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
- Mr. Twitch Chadwick Bracken
- Title
- Manager
- Phone
- (817) 385-9316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.