Individual provider Active NPI

Patricia Anne Balascik, MSPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1619023959
Registry record updated Mar 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018959 Issued in PA
Practice address
1612 S 8TH St
Colorado Springs, CO 80906-1925
Phone
(719) 477-6870
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2011

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 PT018959 PA Primary

Addresses

Primary practice location

1612 S 8TH St
Colorado Springs, CO 80906-1925

Mailing address

1123 Audubon Dr
South Abington Township, PA 18411-2852
Phone (570) 585-0210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140721001498 MA Practitioner - Physical Therapist in Private Practice 2668570540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

1899 Ocean St
Suite X
Marshfield, MA 02050-3315
Phone (781) 536-4034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20936MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc CurrentSince Feb 20, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Feb 20, 2025 Accepting new patients
Mobility Plus Physical Therapy Physical Therapist CurrentSince Mar 25, 2014 Accepting new patients
Physical Therapy Associates of Northeast Pennsylvania Inc Physical Therapist PastSince Sep 27, 2002 Accepting new patients
Strive Wellness PLLC PastSince Mar 5, 2023 Accepting new patients
Great Moves Inc Physical Therapist PastSince Oct 1, 2004 Accepting new patients

Locations

190 Rockland St
Hanover, MA 02339
Phone (781) 826-2200

1899 Ocean St
Ste X
Marshfield, MA 02050
Phone (781) 536-4034

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300579200000",
    "number": "1619023959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 AUDUBON DR",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184112852",
            "telephone_number": "570-585-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061925",
            "telephone_number": "719-477-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASCIK",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2011-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2011; 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.

Verify at the official NPI Registry.