Balance & Neurological Rehabilitation

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

R0556 Issued in MO

Legal business name

BALANCE & NEUROLOGICAL REHABILITATION

Practice address

3100 Broadway St
Suite 507
Kansas City, MO 64111-2658

Phone

(816) 679-7056

Fax

(816) 931-7392

NPI assigned

Oct 11, 2006

Last updated

Aug 22, 2020By 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

Deborah Cooke, PT, PHDNPI 1326134347

Title

Owner

Phone

(816) 679-7056

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Deborah Lee Cooke, P.T., PHD

  • Neurology Physical Therapist
  • Kansas City, MO
  • NPI 1326134347
  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760570717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY ST",
            "address_2": "SUITE 507",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112658",
            "telephone_number": "816-679-7056",
            "fax_number": "816-931-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY ST",
            "address_2": "SUITE 507",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112658",
            "telephone_number": "816-679-7056",
            "fax_number": "816-931-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE & NEUROLOGICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-679-7056",
        "authorized_official_credential": "PT, PHD"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "KS",
            "license": "11-02878",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MO",
            "license": "R0556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "32911028",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "399054",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Baker, LPN
• Shelley S Baker, OTR/L
• Dmitri Victorovich Baklanov, MD
• Dana Marie Bakula, PHD
• Amanda Balabon
• Balanced Body Chiropractic LLC
• Balanced Life Counseling LLC
• Brian W. Balanoff, MD
• Mohammad Khalaf E'Layan Balaw, MD
• Joseph Balcha

• Neurology Physical Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Neurology Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.