Mitas Moina Balbin Medrano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7029 Issued in AZ

Practice address

20508 W Daniel PL
Buckeye, AZ 85396-3649

Phone

(650) 580-3503

Fax

(623) 776-2813

NPI assigned

Jan 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Mitas Moina Balbin Flores Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

76.03 of 100Reported as group

Quality

74.47

Improvement activities

40

Cost

66.89

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apex Physical Therapy, LLC

  • Multi-Specialty Clinic/Center
  • Vail, AZ
  • NPI 1457845273
  NPD
• Figueroa Physical Therapy

  • Physical Therapist
  • Goodyear, AZ
  • NPI 1316996978
  NPD
• Spooner Physical Therapy & Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
  • NPI 1437370525
  NPD
• Spooner Rehab, PC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1225472533
  NPD
• Apex Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Centerton, AR
  • NPI 1710732607

  Physical Therapist

  NPD
• Center for Orthopedic Research and Education, LLC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1427095801

  Physical Therapist

  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1114921871
  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1699779223
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1811977457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20508 W DANIEL PL",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853963649",
            "telephone_number": "650-580-3503",
            "fax_number": "623-776-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20508 W DANIEL PL",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853963649",
            "telephone_number": "650-580-3503",
            "fax_number": "623-776-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "MITAS MOINA",
        "middle_name": "BALBIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7029",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335861",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITAS MOINA",
            "last_name": "FLORES",
            "middle_name": "BALBIN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan McMillan
• Ryan Dean McNeely
• William Brant McNew, DDS
• Chelsea Mead, PTA
• Medcap Family Holdings, P.C.
• Kyriakos Melas
• Alexis Yvette Mendez, DPT
• Mental Health Priority LLC
• Rommel Paulo Mesola, M.D.
• Taylor Meyer, DPT

• Physical Therapist in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.