NPIMap

Organization Active NPI

Body in Balance Physical Therapy

  • Specialist
  • Hauppauge, NY
National Provider Identifier
1760069108
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BODY IN BALANCE PHYSICAL THERAPY
Practice address
611 Old Willets Path Ste 105
Hauppauge, NY 11788-4115
Phone
(631) 232-5350
Fax
(631) 232-1583
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Mrs. Mary Sanchez
Title
Office Manager
Phone
(631) 232-5350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

611 Old Willets Path Ste 105
Hauppauge, NY 11788-4115

Mailing address

611 Old Willets Path Ste 105
Hauppauge, NY 11788-4115
Phone (631) 232-5350

Other practice location 1

12 Technology Dr Unit 2
East Setauket, NY 11733-4049
Phone (631) 444-5041

National Provider Directory

National Provider Directory

Locations

12 Technology Dr
Unit 2
East Setauket, NY 11733
Phone (631) 232-5350

Practitioners & affiliated clinicians

Practitioners 6

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": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1760069108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 OLD WILLETS PATH STE 105",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884115",
            "telephone_number": "631-232-5350",
            "fax_number": "631-232-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 OLD WILLETS PATH STE 105",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884115",
            "telephone_number": "631-232-5350",
            "fax_number": "631-232-1583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Technology Dr Unit 2",
            "address_purpose": "LOCATION",
            "city": "East Setauket",
            "state": "NY",
            "postal_code": "117334049",
            "country_code": "US",
            "telephone_number": "631-444-5041",
            "fax_number": "631-444-5043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODY IN BALANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-232-5350",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.