Active NPI
Balance OT, Inc
- Rehabilitation Clinic/Center
- Seattle, WA
National Provider Identifier
1770756090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- OT00001887
- Legal business name
- BALANCE OT, INC
- Practice address
- 2821 NW Market St Ste E
Seattle, WA 98107-5815 - Phone
- (206) 508-1265
- Fax
- (206) 508-1265
- NPI assigned
- Apr 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly A Clancy, OTR/L, CHT
- Title
- Owner
- Phone
- (206) 508-1265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | OT00001887 | WA | Primary |
Addresses
Primary practice location
2821 NW Market St Ste E
Seattle, WA 98107-5815
Mailing address
3323 NW 71St St
Seattle, WA 98117-6146
Phone (206) 508-1265
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4020-CL | Other | WA | REGENCE |
| 0207147 | Other | WA | LABOR AND INDUSTRIES-WA |
National Provider Directory
National Provider DirectoryLocations
2821 NW Market St
Seattle, WA 98107
Phone (206) 508-1265
5516 17th Ave NW
Seattle, WA 98107
Phone (206) 508-1265
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Seattle, WA
- NPI 1073201778
-
- Occupational Therapist
- Shoreline, WA
- NPI 1255479382
-
- Occupational Therapist
- Bothell, WA
- NPI 1730374406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247443200000",
"number": "1770756090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3323 NW 71ST ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981176146",
"telephone_number": "206-508-1265",
"fax_number": "206-508-1265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 NW MARKET ST STE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981075815",
"telephone_number": "206-508-1265",
"fax_number": "206-508-1265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCE OT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-08",
"last_updated": "2009-07-13",
"status": "A",
"authorized_official_last_name": "CLANCY",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-508-1265",
"authorized_official_credential": "OTR/L, CHT"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "WA",
"license": "OT00001887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "4020-CL",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES-WA",
"identifier": "0207147",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.