Integrative Body Balance Physical Therapy PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

018584 Issued in NY

Legal business name

INTEGRATIVE BODY BALANCE PHYSICAL THERAPY PLLC

Practice address

580 Route 303 # 11
Westshore Plaza
Blauvelt, NY 10913-1105

Phone

(845) 680-6655

Fax

(845) 680-6655

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Lorraine Guarino-Minassian, PT

Title

Physical Therapist

Phone

(845) 680-6655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1629225321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 ROUTE 303 # 11",
            "address_2": "WESTSHORE PLAZA",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131105",
            "telephone_number": "845-680-6655",
            "fax_number": "845-680-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 ROUTE 303 # 11",
            "address_2": "WESTSHORE PLAZA",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131105",
            "telephone_number": "845-680-6655",
            "fax_number": "845-680-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BODY BALANCE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "GUARINO-MINASSIAN",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-680-6655",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "018584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ynez Hansard, LMT
• Chelsea Hart, RDN
• Bradley M Hercman, PSY
• Danielle Hughes, LCSW
• Olga Miriam Iglesias, DDS
• Joan Arnold, LCSW, P.C.
• Jr Chiropractic PLLC
• Tro Kalayjian, D.O.
• Jean Kane, MA, SLT
• Theresa Kelly

• All providers in Blauvelt, NY
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.