Balanced Active Recovery, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BALANCED ACTIVE RECOVERY, LLC

Practice address

1011 12TH St
Hood River, OR 97031-1589

Phone

(503) 757-8223

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mary Coleman, DCNPI 1568408706

Title

Owner, President

Phone

(503) 757-8223

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mary T. Coleman, D.C.

  • Chiropractor
  • Clackamas, OR
  • NPI 1568408706
  NPD Authorized official

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1487487013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311589",
            "telephone_number": "503-757-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311589",
            "telephone_number": "503-757-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED ACTIVE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "503-757-8223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisela Ayala Echeverria
• Brittany Nichole Ayers, L.AC.
• Bianca Badillo
• George Marion Bailey, MD
• Balance Massage Therapy, LLC
• Elizabeth Brooke Baldwin, RN
• David E Barber, RPH
• Bentley Barbour
• Bettina M Bardin-Sorensen, MSPT
• Chelsea Barnard, LMT

• Clinic/Center in Hood River, OR
• Providers in Hood River, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.