Well Balanced Body Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT24551 Issued in CA

Legal business name

WELL BALANCED BODY INC

Practice address

1124 Main St
Suite C
Irvine, CA 92614-6760

Phone

(949) 553-8853

Fax

(949) 553-8883

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Rheena Nieto Burkhardt, DPT, OCSNPI 1073622734

Title

Owner/President

Phone

(949) 553-8853

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rheena Nieto Burkhardt, DPT, OCS

  • Physical Therapist
  • Irvine, CA
  • NPI 1073622734
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1548416829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6356",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926166356",
            "telephone_number": "949-553-8853",
            "fax_number": "949-553-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 MAIN ST",
            "address_2": "SUITE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146760",
            "telephone_number": "949-553-8853",
            "fax_number": "949-553-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL BALANCED BODY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "BURKHARDT",
        "authorized_official_first_name": "RHEENA",
        "authorized_official_middle_name": "NIETO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-553-8853",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT24551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laurie Weiss-Arroyo, OTRL
• Peter R Welgan, PHD
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• Well Minded Therapy
• Well Said Speech Therapy, Inc.
• Wellness & Vitality Home Care LLC

• Physical Therapy Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.