Back to Balance Rehabilitation and Fitness Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT32477 Issued in CA

Legal business name

BACK TO BALANCE REHABILITATION AND FITNESS INC.

Practice address

307 S Robertson Blvd
Beverly Hills, CA 90211-3602

Phone

(310) 652-8404

Fax

(310) 652-7470

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Richard Shen, P.T.

Title

President

Phone

(310) 800-7436

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• David Watts

  • Acupuncturist
  • Bend, OR
  • NPI 1548411010
  NPD (past)

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1629340005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 E OCEAN BLVD",
            "address_2": "#305",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S ROBERTSON BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113602",
            "telephone_number": "310-652-8404",
            "fax_number": "310-652-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BALANCE REHABILITATION AND FITNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-800-7436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT32477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477515559",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Babak Eshaghian MD, Inc
• Babak Larian, Inc.
• Reza Babapour, MD
• Daniel Bach, MD
• Back Institute Surgery Center of Beverly Hills
• Bad-Betty LLC
• Amir Ali Badiei, M.D.
• Yong Bae, L.AC, PH.D.
• Bonnie Baehr, AU.D.
• Mike Baghdassarian, D.C.

• Physical Therapy Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.