Balance Sport & Spine LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BALANCE SPORT & SPINE LLC

Practice address

6862 Elm St
Suite 600
MC Lean, VA 22101-3897

Phone

(202) 674-0644

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Adriana Backus

Title

Managing Member

Phone

(202) 674-0644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1497153993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6862 ELM ST",
            "address_2": "SUITE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6862 ELM ST",
            "address_2": "SUITE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013897",
            "telephone_number": "202-674-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE SPORT & SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "BACKUS",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "202-674-0644",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Bajoghli, MD
• Mehran Bajoghli, M.D.
• Franca M Bakane, PMHNP
• Troy W Baker, D.O.
• Balance Art Acupuncture McLean
• Ashley Balderson
• Mary A. Baldwin, PT
• Anjum Bandarkar, M.D.
• Gabrielle Elizabeth Banish, BCBA
• Patricia Zita Bannon, MD

• Chiropractor in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.