In Balance Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IN BALANCE PHYSICAL THERAPY, LLC

Practice address

62968 O B Riley Rd BLDG E2
Bend, OR 97701-9442

Phone

(541) 382-6957

Fax

(541) 382-6958

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Cathey Kahlie, MSPT

Title

Owner

Phone

(541) 382-6957

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679793129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62968 O B RILEY RD BLDG E2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019442",
            "telephone_number": "541-382-6957",
            "fax_number": "541-382-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62968 O B RILEY RD BLDG E2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019442",
            "telephone_number": "541-382-6957",
            "fax_number": "541-382-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN BALANCE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAHLIE",
        "authorized_official_first_name": "CATHEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-382-6957",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206958",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• 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.