Organization Active NPI

Balance OT, Inc

  • Rehabilitation Clinic/Center
  • Seattle, WA
National Provider Identifier
1770756090
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
OT00001887 Issued in WA
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

Updated by the provider on Jul 13, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4020-CLOtherWAREGENCE
0207147OtherWALABOR AND INDUSTRIES-WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.