NPIMap

Organization Active NPI

Balance Pediatric Developmental Services, LLC

  • Physical Therapist
  • Jermyn, PA
National Provider Identifier
1700037173
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010998L Issued in PA
Legal business name
BALANCE PEDIATRIC DEVELOPMENTAL SERVICES, LLC
Practice address
12 Evergreen Dr
Jermyn, PA 18433-1130
Phone
(570) 840-8356
NPI assigned
Oct 3, 2008
Last updated
Mar 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Dr. Amy Tremback-Ball, PHD, PT
Title
Owner
Phone
(570) 840-8356

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT010998L PA Primary
Occupational Therapist 225X00000X OC003375L PA

Addresses

Primary practice location

12 Evergreen Dr
Jermyn, PA 18433-1130

Mailing address

12 Evergreen Dr
Jermyn, PA 18433-1130
Phone (570) 840-8356

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1700037173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 EVERGREEN DR",
            "city": "JERMYN",
            "state": "PA",
            "postal_code": "184331130",
            "telephone_number": "570-840-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 EVERGREEN DR",
            "city": "JERMYN",
            "state": "PA",
            "postal_code": "184331130",
            "telephone_number": "570-840-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE PEDIATRIC DEVELOPMENTAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "TREMBACK-BALL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-840-8356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010998L",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003375L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jermyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.