Active NPI
Andrew Balanay, PT
- Physical Therapist
- Cathedral City, CA
National Provider Identifier
1487047064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42277
- Practice address
- 35325 Date Palm Dr
Cathedral City, CA 92234-7014 - Phone
- (760) 202-0368
- Fax
- (760) 770-1973
- NPI assigned
- Mar 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT42277 | CA | Primary |
Addresses
Primary practice location
35325 Date Palm Dr
Cathedral City, CA 92234-7014
Mailing address
1106 Walnut St
Ste 110
San Luis Obispo, CA 93401-2416
Phone (805) 788-0805
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT42277 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1487047064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 WALNUT ST",
"address_2": "STE 110",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012416",
"telephone_number": "805-788-0805",
"fax_number": "805-788-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35325 DATE PALM DR",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922347014",
"telephone_number": "760-202-0368",
"fax_number": "760-770-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALANAY",
"first_name": "ANDREW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-06",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT42277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cathedral City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.