Balanced Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BALANCED PHYSICAL THERAPY, LLC

Practice address

200 Macomb Daily Dr
Mount Clemens, MI 48043-5800

Phone

(248) 752-5286

NPI assigned

Oct 30, 2019

Last updated

Jan 27, 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

Robert Litzenburg, P.T.NPI 1396203816

Title

Owner

Phone

(248) 752-5286

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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, and the practitioner matching its NPPES authorized official.

• Robert Litzenburg, DPT

  • Physical Therapist
  • Livonia, MI
  • NPI 1396203816
  Medicare reassignment Care Compare group NPD Authorized official
• Vittoria Gasperoni, DPT

  • Physical Therapist
  • Macomb, MI
  • NPI 1194224022
  Medicare reassignment Care Compare group NPD
• Jeffrey Ewing, D.C.

  • Chiropractor
  • Brighton, MI
  • NPI 1114377439
  NPD
• Craig Andrew Dobek, D.C

  • Chiropractor
  • Farmington Hills, MI
  • NPI 1295160174
  NPD (past)

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1659915056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 NORTHWESTERN HWY STE 135",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MACOMB DAILY DR",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435800",
            "telephone_number": "248-752-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "LITZENBURG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-752-5286",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mountclemens",
            "affiliation": "N",
            "address_1": "200 Macomb Daily Dr",
            "city": "Mount Clemens",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480435800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mirza Mohammad Baig, MD
• Amanda Elizabeth Bail, LLMSW
• Jeserae Bailey, LMSW
• Toccara Bailey
• Anita Baker
• Jade Nehra Balasz, DO
• Affaan Khan Bangash, DO
• Kimberly Marion Barbour, DDS
• Kayla Bardon
• Scott Anthony Barnes, DO

• Physical Therapist in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.