Organization Active NPI

Center for Balance Related Disorders and Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1669446944
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CENTER FOR BALANCE RELATED DISORDERS AND REHABILITATION INC
Practice address
7685 Beechmont Ave
Cincinnati, OH 45255-4216
Phone
(513) 231-2700
Fax
(513) 231-2666
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Dr. Patrick L Shumrick, DPTNPI 1215901673
Title
Owner
Phone
(513) 891-0934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7685 Beechmont Ave
Cincinnati, OH 45255-4216

Mailing address

7685 Beechmont Ave
Cincinnati, OH 45255-4216
Phone (513) 231-2700

Other identifiers 1

IdentifierTypeStateIssuer
2376549MedicaidOH

Other names 1

  • Center for Balance and Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616000645 OH Part B Supplier - Clinic/Group Practice 1153305271 Receives reassigned benefits from 9 practitioners
Practice locations: Blue Ash, OH; Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

9402 Towne Square Ave
Ste C45242
Blue Ash, OH 45242
Phone (513) 231-2700

6811 Creek Rd
Blue Ash, OH 45242
Phone (513) 232-3118

9402 Towne Square Ave
Ste C
Blue Ash, OH 45242
Phone (513) 891-0934

2475 W Galbraith Rd
Ste 2
Cincinnati, OH 45239
Phone (513) 891-0934

10791 Montgomery Rd
Montgomery, OH 45242
Phone (513) 891-0934

4851 Wunnenberg Way
West Chester, OH 45069
Phone (513) 231-2700

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1669446944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7685 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554216",
            "telephone_number": "513-231-2700",
            "fax_number": "513-231-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554216",
            "telephone_number": "513-231-2700",
            "fax_number": "513-231-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BALANCE RELATED DISORDERS AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-10-21",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "SHUMRICK",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-891-0934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2376549",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Balance and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.