Active NPI
The Balance Center, LLC
- Physical Therapy Clinic/Center
- MC Lean, VA
National Provider Identifier
1831709500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- THE BALANCE CENTER, LLC
- Practice address
- 1760 Old Meadow Rd
MC Lean, VA 22102-4331 - Phone
- (703) 403-0848
- NPI assigned
- Aug 6, 2020
- 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
- Teresita Deal, PT
- Title
- Owner/PT
- Phone
- (703) 403-0848
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1760 Old Meadow Rd
MC Lean, VA 22102-4331
Mailing address
4002 Millcreek Dr
Annandale, VA 22003-2334
Phone (703) 403-0848
Other practice location 1
4002 Millcreek Dr
Annandale, VA 22003-2334
Phone (703) 403-0848
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Annandale | Direct | |
| Other URL | ANNANDALE | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10195 Main St
Ste E
Fairfax, VA 22031
Phone (703) 403-0848
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605139200000",
"number": "1831709500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4002 MILLCREEK DR",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032334",
"telephone_number": "703-403-0848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 OLD MEADOW RD",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024331",
"telephone_number": "703-403-0848"
}
],
"practiceLocations": [
{
"address_1": "4002 Millcreek Dr",
"address_purpose": "LOCATION",
"city": "Annandale",
"state": "VA",
"postal_code": "220032334",
"country_code": "US",
"telephone_number": "703-403-0848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE BALANCE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-06",
"last_updated": "2020-11-12",
"certification_date": "2020-11-06",
"status": "A",
"authorized_official_last_name": "DEAL",
"authorized_official_first_name": "TERESITA",
"authorized_official_title_or_position": "OWNER/PT",
"authorized_official_telephone_number": "703-403-0848",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Annandale",
"affiliation": "N",
"endpointDescription": "HIPPA compliant software",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "phone",
"address_1": "4002 Millcreek Dr",
"city": "Annandale",
"state": "VA",
"country_code": "US",
"postal_code": "220032334",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ANNANDALE",
"affiliation": "N",
"endpointDescription": "JaneApp Software HIPAA Compliant",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4002 Millcreek Dr",
"city": "Annandale",
"state": "VA",
"country_code": "US",
"postal_code": "220032334",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.