Active NPI
Balance and Fitness, LLC
- Physical Therapist
- Apex, NC
National Provider Identifier
1558879833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P15232
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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
- Back to Basics Chiropractic Center, PA
- Back to Basics Chiropractic Center, PLLC
- Brittany Andrea Baker, DNP, APRN, FNP-C
- Karen J Baker, MSW, PCD(DONA)
- Mary Catherine Baker, MSW LCSWA
- Marsha Ye Baldwin, CCLS
- Chandler James Balkman, CPO
- Michele Leykum Baransky, BCBA
- Amanda Barfield, APRN, FNP-BC
- Abigail Marie Barlow
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.