Individual provider Active NPI

Aldwin Jacot Balhon, RPT

  • Physical Therapist
  • Harrisburg, PA
National Provider Identifier
1598445777
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018568 Issued in PA
Practice address
800 King Russ Rd
Harrisburg, PA 17109-5101
Phone
(717) 657-1520
NPI assigned
Jul 21, 2023
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018568 PA Primary

Addresses

Primary practice location

800 King Russ Rd
Harrisburg, PA 17109-5101

Mailing address

6114 Spring Knoll Dr
Harrisburg, PA 17111-4869
Phone (484) 985-0501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT018568PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1598445777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 SPRING KNOLL DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171114869",
            "telephone_number": "484-985-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KING RUSS RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095101",
            "telephone_number": "717-657-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALHON",
        "first_name": "ALDWIN",
        "middle_name": "JACOT",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.