Balanced Rock PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031395 Issued in NY

Legal business name

BALANCED ROCK PT PC

Practice address

10825 Merrick Blvd
Jamaica, NY 11433-2906

Phone

(718) 658-9700

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Joanna M Kulis, PT

Title

Owner

Phone

(718) 658-9700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1518323534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10825 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332906",
            "telephone_number": "718-658-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10825 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332906",
            "telephone_number": "718-658-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED ROCK PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "KULIS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-658-9700",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaheer Baksh, COTA/L
• Parampreet Kaur Bakshi, M.D.
• Sanjiv Bakshi, MD
• Bal & Dhamija Inc (New York Blvd Pharmacy)
• Monica Bal, MD
• Kathrin Balaoura, MD
• Natalie Balassiano
• Atreyu Samuel Balasundaram, MD
• Kerry Baldeosingh, RN
• Bedish Balgobin, BA

• Physical Therapist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.