Organization Active NPI

Inbalance PT LLC

  • Physical Therapist
  • San Tan Valley, AZ
National Provider Identifier
1760715866
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5392 Issued in AZ
Legal business name
INBALANCE PT LLC
Practice address
2510 E Hunt Hwy
San Tan Valley, AZ 85143-5206
Phone
(480) 567-2231
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Mr. Ryan Vance, PT
Title
Member
Phone
(480) 567-2231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5392 AZ Primary

Addresses

Primary practice location

2510 E Hunt Hwy
San Tan Valley, AZ 85143-5206

Mailing address

270 E Hunt Hwy
San Tan Valley, AZ 85143-4962
Phone (480) 567-2231

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091103000119 AZ Part B Supplier - Clinic/Group Practice 4284771767 Receives reassigned benefits from 16 practitioners
Practice locations: Mesa, AZ; San Tan Valley, AZ; Scottsdale, AZ

National Provider Directory

National Provider Directory
Tax ID family
Inbalance PT2 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.

Locations

4425 S Mountain Rd
Ste 105
Mesa, AZ 85212

4425 S Mountain Rd
Ste 104
Mesa, AZ 85212

270 E Hunt Hwy
San Tan Valley, AZ 85143

2510 E Hunt Hwy
Ste 19
San Tan Vly, AZ 85143
Phone (480) 567-2231

36397 N Gantzel Rd
Ste 102
San Tan Vly, AZ 85140
Phone (480) 567-2231

6401 E Thomas Rd
Ste 107
Scottsdale, AZ 85251
Phone (602) 714-8896

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1760715866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E HUNT HWY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434962",
            "telephone_number": "480-567-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E HUNT HWY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435206",
            "telephone_number": "480-567-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INBALANCE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-567-2231",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.