The Stout Balance & Dizziness Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THE STOUT BALANCE & DIZZINESS CENTER LLC

Practice address

300 W Water St Ste D
Toms River, NJ 08753-6692

Phone

(732) 703-7988

NPI assigned

May 20, 2021

Last updated

May 28, 2021By 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

Dr. Michael Stephen Stout, PT,DPT,CCSNPI 1174982425

Title

Owner

Phone

(732) 703-7988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Michael S Stout, DPT

  • Physical Therapist
  • Toms River, NJ
  • NPI 1174982425
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1780259960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W PESTALOZZI AVE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082153320",
            "telephone_number": "732-703-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WATER ST STE D",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536692",
            "telephone_number": "732-703-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STOUT BALANCE & DIZZINESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-703-7988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT,CCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Open Door of New Jersey
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• The Open Door of NJ
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• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #811)
• The Therapy Cove LLC
• Humerlda Thelusma, HAITI
• Dave Arnanth Thiagaram
• Connor Thimjon, MD
• Thin Sandar Khine DMD PC

• Physical Therapy Clinic/Center in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.