Balanced Beast Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BALANCED BEAST PHYSICAL THERAPY, INC

Practice address

334 Via Vera Cruz Ste 101
San Marcos, CA 92078-2636

Phone

(858) 533-0736

NPI assigned

Jun 21, 2024

Organization subpart

No

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

Authorized official

Name

Mark BautistaNPI 1700495108

Title

Ceo

Phone

(925) 819-1196

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Tyler Bautista, DPT

  • Physical Therapist
  • San Marcos, CA
  • NPI 1700495108
  NPD Authorized official

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1831933175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 VIA VERA CRUZ STE 101",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782636",
            "telephone_number": "858-533-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 VIA VERA CRUZ STE 101",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782636",
            "telephone_number": "858-533-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BEAST PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-819-1196"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Baker, FNP
• Tala Baker, DMD
• Tyler Frederic Baker, D.D.S.
• Jennifer Culanag Balan, DC
• Balance Acumed Clinic
• Zaldy L Balanquit I
• Richard Gonsalves Balelo Jr., P.T.
• Ashley Ball, LVN
• Brooke Laura Ballard, M.D.
• Heidi Balow, PT

• Physical Therapy Clinic/Center in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.