The Balanced Momtality Women's Health and Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE BALANCED MOMTALITY WOMEN'S HEALTH AND WELLNESS LLC

Practice address

190 Central Park SQ Ste 214a
Los Alamos, NM 87544-4004

Phone

(505) 803-2142

NPI assigned

Feb 11, 2022

Last updated

Feb 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Desiree Cassell, DPTNPI 1730692526

Title

Owner/Physical Therapist

Phone

(505) 803-2142

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, and the practitioner matching its NPPES authorized official.

• Desiree Cassell, DPT

  • Physical Therapist
  • Los Alamos, NM
  • NPI 1730692526
  NPD Authorized official

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1497409023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 36TH ST",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442146",
            "telephone_number": "505-803-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CENTRAL PARK SQ STE 214A",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444004",
            "telephone_number": "505-803-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BALANCED MOMTALITY WOMEN'S HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "CASSELL",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "505-803-2142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert Tyler Taylor III, MD
• Linda Taylor, P.A.
• Sarah Sue Teasdale, LPCC LADAC MA
• Julianne Teel-Salazar
• Margaret Tennyson-Robey, P.T.
• Sarah Lynn Thien, PT
• Lois Jean Thompson, EDD
• Robert John Thomsen, MD
• Rachael Thornton
• Miriam Thorp, L.I.S.W.

• Physical Therapist in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.