Balanced Gait Physical Therapy P.C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BALANCED GAIT PHYSICAL THERAPY P.C

Practice address

160 Commack Rd Ste LL3
Commack, NY 11725-3412

Phone

(631) 338-4073

NPI assigned

Feb 4, 2019

Last updated

Feb 4, 2019By 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

Mrs. Susan ThomasNPI 1184932881

Title

Physical Therapist

Phone

(631) 338-4073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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.

• Susan Thomas, P.T

  • Physical Therapist
  • Commack, NY
  • NPI 1184932881
  Medicare reassignment Care Compare group NPD Authorized official
• Caitlyn Davis, PT, DPT

  • Physical Therapist
  • Centereach, NY
  • NPI 1366328155
  Medicare reassignment Care Compare group NPD
• Cynthia Leone, PT

  • Neurology Physical Therapist
  • East Meadow, NY
  • NPI 1386076628
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1629533773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DALTON CT",
            "city": "SOUTH HUNTINGTON",
            "state": "NY",
            "postal_code": "117464530",
            "telephone_number": "631-338-4073",
            "fax_number": "631-873-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 COMMACK RD STE LL3",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253412",
            "telephone_number": "631-338-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED GAIT PHYSICAL THERAPY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-338-4073",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bab Nuclear Radiology, PC (BAB Radiology Commack)
• Babbling Brook Speech and Language Therapy, PLLC
• Eunkyung Bae, LAC
• David S Bagshaw
• Emily Baisley
• Brian M Baldwin, LCSW
• Richard A Balter, MD
• Katherine A. Baltis Levy, OD
• Zehra Bandealy
• Govind Bapat, D.D.S.

• Clinic/Center in Commack, NY
• Providers in Commack, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.