Balanced Physical Therapy and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BALANCED PHYSICAL THERAPY AND WELLNESS

Practice address

1842 N Division St
Oviedo, FL 32765-6844

Phone

(407) 579-1155

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Kelly Bordas, DPTNPI 1215351572

Title

Physical Therapist

Phone

(407) 579-1155

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelly Bordas

  • Physical Therapist
  • Lake Mary, FL
  • NPI 1215351572
  NPD Authorized official

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1699557462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 N DIVISION ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 N DIVISION ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656844",
            "telephone_number": "407-579-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "BORDAS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "407-579-1155",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B Physical Therapy Oviedo
• Jaya Jaya Brahmani Bachu, PT
• Jahleysha Baker, RBT
• Sarah Marie Baker, LMHC
• Balanced Pelvis LLC
• Alicia Steinmeyer Baldwin, DO
• Steven Balogh, PT, DPT
• Love Bamisile, NP
• Lisa Gayle Banister, P.T.
• Yeny Bannon, PA-C

• Physical Therapy Clinic/Center in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.