Organization Active NPI

Balance Wellness Therapy Inc

  • Massage Therapist
  • Coconut Creek, FL
National Provider Identifier
1518420058
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BALANCE WELLNESS THERAPY INC
Practice address
5853 NW 40TH Ave
Coconut Creek, FL 33073
Phone
(954) 829-7027
NPI assigned
Apr 11, 2019
Last updated
Apr 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
BALANCE WELLNESS THERAPY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Anita O'Brien, LMT
Title
President
Phone
(954) 829-7027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

5853 NW 40TH Ave
Coconut Creek, FL 33073

Mailing address

5853 NW 40TH Ave
Coconut Creek, FL 33073
Phone (954) 829-7027

National Provider Directory

National Provider Directory
Part of
Balance Wellness Therapy Inc

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1518420058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5853 NW 40TH AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "954-829-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5853 NW 40TH AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "954-829-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE WELLNESS THERAPY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALANCE WELLNESS THERAPY INC",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-829-7027",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.