Balistreri & Associates Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BALISTRERI & ASSOCIATES PHYSICAL THERAPY

Practice address

902 Wells Street
Lake Geneva, WI 53147

Phone

(262) 249-1915

Fax

(262) 249-1397

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Suzanne Balistreri-RodenNPI 1639234297

Title

Senior Account Administrator

Phone

(262) 942-0163

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Suzanne Balistreri-Roden, P.T.

  • Physical Therapist
  • Lake Geneva, WI
  • NPI 1639234297
  NPD (past) Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1689779902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6926 39TH AVENUE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53142",
            "telephone_number": "262-942-0163",
            "fax_number": "262-697-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WELLS STREET",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "53147",
            "telephone_number": "262-249-1915",
            "fax_number": "262-249-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALISTRERI & ASSOCIATES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "BALISTRERI-RODEN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "SENIOR ACCOUNT ADMINISTRATOR",
        "authorized_official_telephone_number": "262-942-0163",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Pharmacy Inc
• Austin Frank Bacchus, M.D.
• Katrina Badeau, LMFT
• Sara Bader, ATC, LAT
• John Ellsworth Baldwin, RPH
• Suzanne Balistreri-Roden, P.T.
• Anshul B. Bamrolia, MD
• Matthew Banas
• Melisa Barber
• Sally Bardin, LPC

• Physical Therapist in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.