Inner Balance Physical Therapy and Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

006733 Issued in CT

Legal business name

INNER BALANCE PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

34 Jerome Ave Ste 305
Bloomfield, CT 06002-2463

Phone

(860) 758-0754

NPI assigned

May 19, 2018

Organization subpart

No

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

Authorized official

Name

Alanna Heaney, PT

Title

Member

Phone

(860) 758-0754

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526688000000",
    "number": "1790276368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE STE 305",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE STE 305",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-758-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-19",
        "last_updated": "2018-05-19",
        "status": "A",
        "authorized_official_last_name": "HEANEY",
        "authorized_official_first_name": "ALANNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-758-0754",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "006733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "1558413864",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurice Antoinette Howell, R.D., LD
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• I Serve Behavioral Health Services LLC
• Fernando F. Illescas, M.D.
• Inner You Clinical Services LLC
• Inspire Me, LLC
• Integrative Wellness and Physical Therapy, P.C.
• Integrity Care 360 LLC
• Jacob Zamstein, MD, LLC

• Physical Therapy Clinic/Center in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2018; 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.