NPIMap

Organization Active NPI

Balance Healthcare Services, LLC

  • Physical Therapy Clinic/Center
  • Chandler, AZ
National Provider Identifier
1639693963
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8041 Issued in AZ
Legal business name
BALANCE HEALTHCARE SERVICES, LLC
Practice address
643 W San Carlos Way
Chandler, AZ 85248
Phone
(480) 882-0766
NPI assigned
Jul 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Koki K Amin, DPT, MPTNPI 1215103080
Title
Owner - Managing Member
Phone
(480) 900-7549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8041 AZ Primary

Addresses

Primary practice location

643 W San Carlos Way
Chandler, AZ 85248

Mailing address

643 W San Carlos Way
Chandler, AZ 85248-5173
Phone (480) 251-9380

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639693963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 W SAN CARLOS WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485173",
            "telephone_number": "480-251-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 W SAN CARLOS WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85248",
            "telephone_number": "480-882-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-23",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "KOKI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER - MANAGING MEMBER",
        "authorized_official_telephone_number": "480-900-7549",
        "authorized_official_credential": "DPT, MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "8041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.