Balance and Spine Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BALANCE AND SPINE REHAB LLC

Practice address

2140 Kingsley Ave Ste 13
Orange Park, FL 32073-5129

Phone

(904) 374-3672

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Michael Sandborn, MD

Title

Owner/Physician

Phone

(904) 374-3672

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1548023096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 GATE PKWY STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567276",
            "telephone_number": "904-374-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 KINGSLEY AVE STE 13",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735129",
            "telephone_number": "904-374-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE AND SPINE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "SANDBORN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "904-374-3672",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas W Baird
• Jamie Renee Baker, CPHT, PACS
• Sara Baker, PT, DPT
• Tiffany Ta'Larna Baker
• Hailey Bakley
• Balansera Therapy Group
• Arthi Balasubramaniam, DO
• Natallia Michailovna Baldev, CRNA
• Shari Daniela Baldwin
• Melissa Marie Ballard-Martin, A.P.R.N.

• Physical Therapy Clinic/Center in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.