NPIMap

Organization Active NPI

Rebalance Wellness Solutions, LLC

  • Physical Therapy Clinic/Center
  • Frisco, TX
National Provider Identifier
1891363800
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REBALANCE WELLNESS SOLUTIONS, LLC
Practice address
4747 4TH Army Dr Ste 150
Frisco, TX 75034-0155
Phone
(972) 571-6622
NPI assigned
Jun 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Dr. Mealad Tarighi, DPTNPI 1801384482
Title
Doctor of Physical Therapy
Phone
(972) 571-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4747 4TH Army Dr Ste 150
Frisco, TX 75034-0155

Mailing address

4571 Duval Dr
Frisco, TX 75034-2124
Phone (692) 005-7844

Other names 1

  • ReBalance Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211129000876 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062802465 Receives reassigned benefits from 6 practitioners
Practice locations: Frisco, TX; McKinney, TX

National Provider Directory

National Provider Directory

Locations

4747 4th Army Dr
Frisco, TX 75034

4747 4th Army Dr
Ste 150
Frisco, TX 75034
Phone (469) 200-5784

Practitioners & affiliated clinicians

Practitioners 7

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": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1891363800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4571 DUVAL DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750342124",
            "telephone_number": "692-005-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 4TH ARMY DR STE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340155",
            "telephone_number": "972-571-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBALANCE WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "TARIGHI",
        "authorized_official_first_name": "MEALAD",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "972-571-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReBalance Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ReBalance Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.