Equilibrium Balance Performance Center Physical Therapy a Prof. Corp.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT 27784 Issued in CA

Legal business name

EQUILIBRIUM BALANCE PERFORMANCE CENTER PHYSICAL THERAPY A PROF. CORP.

Practice address

1673 Donlon St Ste 201
Ventura, CA 93003-5668

Phone

(805) 339-9718

Fax

(805) 339-9728

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Amy M. Griffin, M.S.,P.T.NPI 1952416513

Title

President

Phone

(805) 339-9718

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Amy M Griffin, MS., PT.

  • Neurology Physical Therapist
  • Ventura, CA
  • NPI 1952416513
  Medicare reassignment Care Compare group NPD Authorized official
• Eric Jocson, DPT

  • Physical Therapist
  • Ventura, CA
  • NPI 1255298311
  Medicare reassignment Care Compare group NPD
• Brandon R Selvey, DPT

  • Physical Therapist
  • Ventura, CA
  • NPI 1053813766
  Medicare reassignment Care Compare group NPD
• Janelle Liu, DPT

  • Physical Therapist
  • Ventura, CA
  • NPI 1376253237
  Medicare reassignment NPD

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1487845400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 DONLON ST STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035668",
            "telephone_number": "805-339-9718",
            "fax_number": "805-339-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 DONLON ST STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035668",
            "telephone_number": "805-339-9718",
            "fax_number": "805-339-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM BALANCE PERFORMANCE CENTER PHYSICAL THERAPY A PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-339-9718",
        "authorized_official_credential": "M.S.,P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 27784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ62926Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nomura England, MSW, LCSW
• Linda Diane England, M.D.
• Christopher Enriquez
• Ephesians Home Health Incorporated
• Epiphany Care Homes Inc
• Era Psychological Services, Inc
• Claret Erazo
• Charletta Erb, LMFT
• Nicole Erhart, DPT
• Eric & Meena Enterprises, Inc.

• Physical Therapy Clinic/Center in Ventura, CA
• Providers in Ventura, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.