NPIMap

Organization Active NPI

Well-Balanced Physical Therapy L.LC.

  • Orthopedic Physical Therapist
  • Lapeer, MI
National Provider Identifier
1619728623
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
WELL-BALANCED PHYSICAL THERAPY L.LC.
Practice address
1885 Rustic Drive
Apt 106
Lapeer, MI 48446
Phone
(810) 305-1478
NPI assigned
Mar 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Salvatore DeangeloNPI 1174024103
Title
Owner
Phone
(810) 305-1478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

1885 Rustic Drive
Apt 106
Lapeer, MI 48446

Mailing address

1885 Rustic Drive
Apt 106
Lapeer, MI 48446
Phone (810) 305-1478

Other names 1

  • Well-Balanced Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1619728623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 RUSTIC DRIVE",
            "address_2": "APT 106",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "810-305-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 RUSTIC DRIVE",
            "address_2": "APT 106",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "810-305-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-BALANCED PHYSICAL THERAPY L.LC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "DEANGELO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-305-1478"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well-Balanced Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.