Organization Active NPI

Balanced Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Vancouver, WA
National Provider Identifier
1861477929
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
602153132 Issued in WA
Legal business name
BALANCED PHYSICAL THERAPY LLC
Practice address
900 NE 139TH St Ste 102
Vancouver, WA 98685-2513
Phone
(360) 573-3611
Fax
(360) 573-3880
NPI assigned
Dec 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Mrs. Deborah Lynn Lehner, PT
Title
Owner
Phone
(360) 573-3611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 602153132 WA Primary

Addresses

Primary practice location

900 NE 139TH St Ste 102
Vancouver, WA 98685-2513

Mailing address

900 NE 139TH St Ste 102
Vancouver, WA 98685-2513
Phone (360) 573-3611

National Provider Directory

National Provider Directory

Locations

2105 NE 129th St
Ste 200
Vancouver, WA 98686
Phone (360) 573-3611

900 NE 139th St
Ste 102
Vancouver, WA 98685
Phone (360) 573-3611

Practitioners & affiliated clinicians

Practitioners 3

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": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1861477929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NE 139TH ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852513",
            "telephone_number": "360-573-3611",
            "fax_number": "360-573-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE 139TH ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852513",
            "telephone_number": "360-573-3611",
            "fax_number": "360-573-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "LEHNER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-573-3611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "602153132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.