The Body-N-Balance Physical Therapy Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT11743 Issued in FL

Legal business name

THE BODY-N-BALANCE PHYSICAL THERAPY INC

Practice address

3980 Southside Blvd BLDG 1
Suite 103
Jacksonville, FL 32216-6611

Phone

(904) 645-6529

Fax

(904) 645-6540

NPI assigned

Oct 14, 2010

Last updated

Oct 14, 2010By 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

Rose Marie Allen

Title

Director

Phone

(904) 645-6529

Specialties & licenses 1

Addresses

Tax ID family

The Body-N-Balance Physical Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Body-N-Balance Physical Therapy Inc

  • Specialist
  • Jacksonville, FL
  • NPI 1184924912
  NPD tax ID

Locations

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1740590512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 CARDINAL BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101908",
            "telephone_number": "904-645-6529",
            "fax_number": "904-645-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SOUTHSIDE BLVD BLDG 1",
            "address_2": "SUITE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166611",
            "telephone_number": "904-645-6529",
            "fax_number": "904-645-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BODY-N-BALANCE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-645-6529"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT11743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.