Balanced Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1295 Issued in IA

Legal business name

BALANCED PHYSICAL THERAPY PC

Practice address

576 Boyson Road NE
Suite 100
Cedar Rapids, IA 52402

Phone

(319) 294-4989

Fax

(319) 294-2419

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By 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

Susan L Bell, PT

Title

Owner

Phone

(319) 294-4989

Specialties & licenses 1

Addresses

Locations

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.

• Jerry Francis Gillon, PT

  • Physical Therapist
  • Cedar Rapids, IA
  • NPI 1205831575
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659406874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BOYSON ROAD NE",
            "address_2": "SUITE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52402",
            "telephone_number": "319-294-4989",
            "fax_number": "319-294-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 BOYSON ROAD NE",
            "address_2": "SUITE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52402",
            "telephone_number": "319-294-4989",
            "fax_number": "319-294-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-294-4989",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "1295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Baily
• Jack W Baker III, M.S.
• Kristin A Baker, DNP, ARNP
• Michael Baker, D.O.
• Mark A Bakkum, BOARD CERTIFIED IOWA
• Stephanie Baldwin, MD
• Erin Balk, ARNP
• Balster & Pfohl Pediatric Dentistry LLP
• Balster Pediatric Dentistry, PC
• Erik T Balster, D.D.S.

• Physical Therapist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.