Edwin Lu Ballada, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23177 Issued in FL

Practice address

411 W Woodward Ave
Eustis, FL 32726-4554

Phone

(352) 357-3565

NPI assigned

Mar 14, 2007

Last updated

Sep 9, 2020By the provider in NPPES

Sex

Male

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rose Wellness Clinic LLC.Group PAC ID 6406167733, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Rose Wellness Clinic LLC

  • General Practice Physician
  • The Villages, FL
  • NPI 1598159576
  Medicare reassignment Care Compare group
• Creative Health Care Management, LLC

  dba Vertis Therapy

  • Physical Therapist
  • Bradenton, FL
  • NPI 1790302164
  Medicare reassignment NPD
• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment NPD
• Strength and Balance Institute

  • Physical Therapist
  • Aventura, FL
  • NPI 1164077947
  NPD
• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975
  NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1891828927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W WOODWARD AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264554",
            "telephone_number": "352-357-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W WOODWARD AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264554",
            "telephone_number": "352-357-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLADA",
        "first_name": "EDWIN",
        "middle_name": "LU",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "23177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony A. Azadi, DDS
• Lucy Edith Baca, BEHAVIOR TECHNICIAN
• Sandra Badrous, DMD
• Racheal Marie Baer
• Hannah Baisch
• Bree Elizabeth Banks, RBT
• Savannah Barber
• Adam Justin Barr, D.D.S.
• Brady Austin Bass
• Jennifer Michelle Bass

• Physical Therapist in Eustis, FL
• Providers in Eustis, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.