Balance Dynamics PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006316 Issued in CT

Legal business name

BALANCE DYNAMICS PT LLC

Practice address

6527 Main St
Lower Level
Trumbull, CT 06611-1385

Phone

(203) 856-5460

NPI assigned

Mar 18, 2016

Last updated

Mar 22, 2016By 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

Anne Wolf, M.S.P.T.NPI 1033543285

Title

Physical Therapist

Phone

(203) 856-5460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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.

• Anne Wolf, P.T.

  • Physical Therapist
  • Trumbull, CT
  • NPI 1033543285
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1669833687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ROSEMERE AVE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06825",
            "telephone_number": "203-856-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6527 MAIN ST",
            "address_2": "LOWER LEVEL",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111385",
            "telephone_number": "203-856-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE DYNAMICS PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "203-856-5460",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Jill Babushkin, DMD
• Zynab Umu Bah
• Baker Pediatrics, LLC
• Christina Elizabeth Baker, PSYD
• Kathryn A Baker, D.O.
• Hayley M Ball, PHARMD,
• Tanaisha Bandoo
• Benjamin Barbash, M.D.
• Benjamin George Barnes, D.C
• Robert Barnett

• Physical Therapist in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.