Organization Active NPI

Balance and Fitness, LLC

  • Physical Therapist
  • Apex, NC
National Provider Identifier
1558879833
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P15232 Issued in NC
Legal business name
BALANCE AND FITNESS, LLC
Practice address
319 Thorn Hollow Dr
Apex, NC 27523-9278
Phone
(482) 495-8751
NPI assigned
Jan 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Devika Alex Mathew, PT
Title
Physical Therapist/Owner
Phone
(248) 495-8751

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X P15232 NC Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

319 Thorn Hollow Dr
Apex, NC 27523-9278

Mailing address

319 Thorn Hollow Dr
Apex, NC 27523-9278
Phone (482) 495-8751

Other practice location 1

525 Indian Branch Dr
Morrisville, NC 27560-9449
Phone (919) 659-8968

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1558879833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 THORN HOLLOW DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275239278",
            "telephone_number": "482-495-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 THORN HOLLOW DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275239278",
            "telephone_number": "482-495-8751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Indian Branch Dr",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275609449",
            "country_code": "US",
            "telephone_number": "919-659-8968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCE AND FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-20",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "DEVIKA",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "248-495-8751",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15232",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.