Balancing Worlds: Myofascial Release, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BALANCING WORLDS: MYOFASCIAL RELEASE, LLC

Practice address

1325 E Grandview St
Mesa, AZ 85203-4427

Phone

(401) 569-9071

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Nandita RamasubramaniamNPI 1497947139

Title

Physical Therapist

Phone

(401) 569-9071

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nandita Ramasubramaniam, DPT, MHS

  • Physical Therapist
  • Mesa, AZ
  • NPI 1497947139
  NPD Authorized official

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1801405808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E GRANDVIEW ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034427",
            "telephone_number": "401-569-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E GRANDVIEW ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034427",
            "telephone_number": "401-569-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCING WORLDS: MYOFASCIAL RELEASE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "RAMASUBRAMANIAM",
        "authorized_official_first_name": "NANDITA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "401-569-9071"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tirsa Escalante Baker, P.T.
• Trenton Ralph Baker, DO
• Balance Basics, LLC
• Balance Chiropractic LLC
• Balanced Perspectives LLC
• Bridgette Galye Balasko, M.D.
• Erika Elssye Balcazar
• Nicole Baldauf, MS
• Brian Leonel Baldwin, OD
• Judith Ann Baldwin, SLP

• All providers in Mesa, AZ
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.