Individual provider Active NPI

Judee Leigh Balash, PTA

  • Physical Therapy Assistant
  • Cuyahoga Falls, OH
National Provider Identifier
1861640948
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2150 Issued in OH
Practice address
1524 Broad Blvd
Cuyahoga Falls, OH 44223-2435
Phone
(330) 807-0195
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2150 OH Primary

Addresses

Primary practice location

1524 Broad Blvd
Cuyahoga Falls, OH 44223-2435

Mailing address

1524 Broad Blvd
Cuyahoga Falls, OH 44223-2435
Phone (330) 807-0195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2150OHMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1861640948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 BROAD BLVD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232435",
            "telephone_number": "330-807-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 BROAD BLVD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232435",
            "telephone_number": "330-807-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASH",
        "first_name": "JUDEE",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "2150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

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