Active NPI
Be Balanced Physical Therapy
- Physical Medicine & Rehabilitation Physician
- Spokane, WA
National Provider Identifier
1801550835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- BE BALANCED PHYSICAL THERAPY
- Practice address
- 505 E 11TH Ave
Spokane, WA 99202-1103 - Phone
- (864) 915-4004
- NPI assigned
- Oct 26, 2021
- 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
- Amy Gibbs, MPT
- Title
- Physical Therapist
- Phone
- (864) 915-4004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
505 E 11TH Ave
Spokane, WA 99202-1103
Mailing address
505 E 11TH Ave
Spokane, WA 99202-1103
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635206400000",
"number": "1801550835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E 11TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E 11TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021103",
"telephone_number": "864-915-4004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BE BALANCED PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "864-915-4004",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.