Mind Body Balance Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MIND BODY BALANCE PHYSICAL THERAPY PLLC

Practice address

6483 Southwest Blvd
Benbrook, TX 76132-2777

Phone

(682) 224-2550

Fax

(682) 224-3212

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Samantha Johnson, PT, DPTNPI 1649704990

Title

Owner

Phone

(737) 347-3887

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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

• Samantha Ashley Johnson, DPT

  • Physical Therapy Clinic/Center
  • Benbrook, TX
  • NPI 1649704990
  Medicare reassignment Care Compare group NPD Authorized official
• Sara Jayne Barker, PT, DPT

  • Physical Therapist
  • Benbrook, TX
  • NPI 1538933106
  Medicare reassignment Care Compare group NPD
• Riley Joy Luetkenhaus, PT, DPT

  • Physical Therapist
  • Benbrook, TX
  • NPI 1861283400
  Medicare reassignment Care Compare group NPD
• Madison Lane Backman, DPT

  • Physical Therapist
  • Benbrook, TX
  • NPI 1215816590
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1629819644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760650781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6483 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761322777",
            "telephone_number": "682-224-2550",
            "fax_number": "682-224-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY BALANCE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-347-3887",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mend & Move Therapy, PLLC
• Sydney Miley
• Hailey Leah Miller, PT, DPT
• Jaroline Miller, P.T.
• Samantha Mills
• Terri Lea Moak, LVN
• Elizabeth Mong, M.ED., BCBA, LBA
• Articia Moreno, PTA
• Bethany Morgan
• Carolina Morquecho

• Physical Therapist in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.