William Robert Balshem, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

9896 Bustleton Ave
Philadelphia, PA 19115-5202

Phone

(215) 287-5581

NPI assigned

Jun 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Deer Meadows Home Health and Support Services, LLC

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1366673790
  Medicare reassignment
• Pennsylvania Luna Care Physical Therapy LLC

  • Physical Therapist
  • Horsham, PA
  • NPI 1528689445
  Medicare reassignment

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1851917017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9896 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155202",
            "telephone_number": "215-934-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155202",
            "telephone_number": "215-287-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSHEM",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.balshem@genesishcc.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "9896 Bustleton Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191155202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Evelyn Kemi Balogun, MD,MPH
• Oluwanifemi Tolulase Balogun, MD
• Sheri Jill Balsam, PSY.D.
• Sheri Balsara
• Eli Balshan
• Oksana Baltarowich, M.D.
• Madison Baltazar, DO
• Ilana R Baltuch, MD
• Abigail M Baltz, PHARMD
• Alan Balu, MD

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.