Active NPI
Andrea Balyer, PT, DPT
- Physical Therapist
- Madison, WI
National Provider Identifier
1558735233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13246-24
- Practice address
- 600 Highland Ave
Mail Stop 2424
Madison, WI 53792-2424 - Phone
- (608) 263-8060
- Fax
- (608) 262-7679
- NPI assigned
- Nov 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13246-24 | WI | Primary |
Addresses
Primary practice location
600 Highland Ave
Mail Stop 2424
Madison, WI 53792-2424
Mailing address
600 Highland Ave
Mail Stop 2424
Madison, WI 53792-2424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225100000X | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240126001888 | CO | Practitioner - Physical Therapist in Private Practice | 5193178069 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13246-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Village Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Village Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
5825 Delmonico Dr
Ste 300
Colorado Springs, CO 80919
4035A Club Manor Dr
#4
Pueblo, CO 81008
Phone (719) 562-0328
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Denver, CO
- NPI 1992465009
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1710026992
-
- Physical Therapist
- Pueblo, CO
- NPI 1992825202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1558735233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE",
"address_2": "MAIL STOP 2424",
"city": "MADISON",
"state": "WI",
"postal_code": "537922424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE",
"address_2": "MAIL STOP 2424",
"city": "MADISON",
"state": "WI",
"postal_code": "537922424",
"telephone_number": "608-263-8060",
"fax_number": "608-262-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALYER",
"first_name": "ANDREA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-18",
"last_updated": "2024-01-03",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13246-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225100000X",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.