Balistreri & Associates Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BALISTRERI & ASSOCIATES PHYSICAL THERAPY

Practice address

1135 Prarie Drive
Racine, WI 53406

Phone

(262) 886-6780

Fax

(262) 886-6710

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Suzanne Balistreri-Roden

Title

Owner

Phone

(262) 942-0163

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1861597262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6926 39TH AVENUE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53142",
            "telephone_number": "262-942-0163",
            "fax_number": "262-697-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 PRARIE DRIVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53406",
            "telephone_number": "262-886-6780",
            "fax_number": "262-886-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALISTRERI & ASSOCIATES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "BALISTRERI-RODEN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-942-0163",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manmeet K Bains, MD
• Carol Ann Baird, APNP
• Michelle Bak, M.A. CCC-SLP
• Jamie Lynn Baker, PHARM.D.
• Baldwin Lactation Consultant Services, LLC
• Gabrielle Balistreri
• Alexius Banks
• Kelly Lynn Bardosy
• Kala C Barker, LPN
• Isabella Mae Barrett

• Physical Therapist in Racine, WI
• Providers in Racine, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.