A Just Balance Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

A JUST BALANCE PHYSICAL THERAPY LLC

Practice address

160 Farmhouse Rd
Campobello, SC 29322-9344

Phone

(864) 702-8090

NPI assigned

Feb 9, 2024

Last updated

Feb 9, 2024By 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

Leslie Allison Shields, DPTNPI 1699538827

Title

Owner

Phone

(864) 702-8090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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.

• Leslie Allison Shields, DPT

  • Physical Therapist
  • Campobello, SC
  • NPI 1699538827
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1689438749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 BOILING SPRINGS RD # 127",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165716",
            "telephone_number": "864-702-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FARMHOUSE RD",
            "city": "CAMPOBELLO",
            "state": "SC",
            "postal_code": "293229344",
            "telephone_number": "864-702-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A JUST BALANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-702-8090",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kechayla Abrams
• Michael Von Baker, ATC,SCAT
• Diamond PT Diabetic Suppl
• Stephen Jacob Gordin, MD
• Savannah Grigg

• Physical Therapist in Campobello, SC
• Providers in Campobello, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.