Aspen Joy Balthazor, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03854 Issued in KS

Practice address

731 Klein Cir
Derby, KS 67037-7011

Phone

(316) 719-2400

NPI assigned

Jan 12, 2010

Last updated

Nov 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stay Home Solutions for Seniors LLCGroup PAC ID 0244634616, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joy of Movement Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Haysville, KS
  • NPI 1487290599
  Medicare reassignment NPD Authorized official
• Stay Home Solutions for Seniors, LLC

  • In Home Supportive Care Agency
  • Wichita, KS
  • NPI 1144814005
  Medicare reassignment Care Compare group NPD
• Adaptive Living, LLC

  • Occupational Therapist
  • Wichita, KS
  • NPI 1093958712
  NPD (past)

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574553600000",
    "number": "1871823997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 KLEIN CIR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670377011",
            "telephone_number": "316-719-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 KLEIN CIR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670377011",
            "telephone_number": "316-719-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1854 W Lakeview Ct",
            "address_purpose": "LOCATION",
            "city": "Haysville",
            "state": "KS",
            "postal_code": "670605520",
            "country_code": "US",
            "telephone_number": "316-285-0598",
            "fax_number": "833-842-8860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTHAZOR",
        "first_name": "ASPEN",
        "middle_name": "JOY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2019-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Avendano-Aranda, OTR
• Azd Derby, LLC
• Bailey Holdings LLC
• Catherine I Baker, LMSW LSCSW
• Balance Behavioral Health LLC
• Logan Kale Banister, O.D.
• Thawab Barbour
• Cynthia Lynette Barger, CPM
• Carrie Lynn Barker, HHA
• Kathleen A Barrett, ARNP

• Physical Therapist in Derby, KS
• Providers in Derby, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.