Body Balance Orthopedic & Sport Performance

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1111524 Issued in TX

Legal business name

BODY BALANCE ORTHOPEDIC & SPORT PERFORMANCE

Practice address

1 World of Tennis SQ
Lakeway, TX 78738-1101

Phone

(512) 261-8699

NPI assigned

Aug 21, 2007

Last updated

Feb 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul James Hendricks, P.T.NPI 1053470567

Title

Owner

Phone

(512) 261-8699

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul James Hendricks, PT

  • Orthopedic Physical Therapist
  • Lakeway, TX
  • NPI 1053470567
  NPD (past) Authorized official
• Robert Lane Croll, PT

  • Physical Therapist
  • Lakeway, TX
  • NPI 1730342361
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201910400000",
    "number": "1881887123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 COPPERLEAF RD",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344246",
            "telephone_number": "512-261-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WORLD OF TENNIS SQ",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787381101",
            "telephone_number": "512-261-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BALANCE ORTHOPEDIC & SPORT PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-02-02",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-261-8699",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1111524",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bir JV LLP (Baylor Scott & White Institute for Rehabilitation - Lakeway)
• Black Acre Emergency Physicians Medical Group PLLC
• Rachel Black, RBT
• Michelle Lee Blackburn, FNP
• Body Balance LLC (Body Balance Lakeway)
• Brian Bolerjack, D.M.D., M.D.S.
• Laura E. Bowen, MA, LPC-S
• Kohldon Carter Boydston, MD
• Dana Brauman, PSYD
• Brent Bennett MD PA

• Orthopedic Physical Therapist in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.