Fundamental Balance Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

FUNDAMENTAL BALANCE INC

Practice address

3900 S Wadsworth Blvd
Suite 325
Lakewood, CO 80235-2203

Phone

(720) 939-8948

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan FiskNPI 1265833172

Title

President

Phone

(720) 939-8948

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan Fisk

  • Massage Therapist
  • Lakewood, CO
  • NPI 1265833172
  NPD (past) Authorized official

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1629479548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 W ELLSWORTH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802231605",
            "telephone_number": "720-939-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S WADSWORTH BLVD",
            "address_2": "SUITE 325",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352203",
            "telephone_number": "720-939-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTAL BALANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "FISK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-939-8948"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Circle Physical Therapy, Inc.
• Lindsey Anna Fuller, PTA
• Melissa Fuller, MA, LPC, NCC
• Brandi C Fullmer, PMHNP
• Laurel C Fulton, DDS
• Bernard Funderburk III
• Brian A Furgason, DDS
• Robert Fyfe, LPC
• William J Fyfe, ED D
• Meghan Gadell

• Massage Therapist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.