Organization Active NPI

Balanced Body Rehab LLC

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1750714515
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BALANCED BODY REHAB LLC
Practice address
690 S Geyer Rd
Saint Louis, MO 63122-5935
Phone
(314) 780-9759
Fax
(888) 898-5857
NPI assigned
Aug 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Mr. Josh A Borgmeyer, PT, DPT, MTCNPI 1689603318
Title
Owner
Phone
(314) 780-9759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X MO Primary

Addresses

Primary practice location

690 S Geyer Rd
Saint Louis, MO 63122-5935

Mailing address

690 S Geyer Rd
Saint Louis, MO 63122-5935
Phone (314) 780-9759

Other practice location 1

13421 Manchester Rd Ste 207
Saint Louis, MO 63131-1741
Phone (314) 780-9759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140120000288 MO Part B Supplier - Clinic/Group Practice 5890923825 Receives reassigned benefits from 1 practitioner
Practice locations: Creve Coeur, MO

National Provider Directory

National Provider Directory

Locations

13421 Manchester Rd
Ste 207
Saint Louis, MO 63131
Phone (314) 780-9759

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1750714515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S GEYER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225935",
            "telephone_number": "314-780-9759",
            "fax_number": "888-898-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S GEYER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225935",
            "telephone_number": "314-780-9759",
            "fax_number": "888-898-5857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13421 Manchester Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631311741",
            "country_code": "US",
            "telephone_number": "314-780-9759",
            "fax_number": "888-898-5857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED BODY REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "BORGMEYER",
        "authorized_official_first_name": "JOSH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-780-9759",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT, MTC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.