NPIMap

Organization Active NPI

The Center for Balance and Rehabilitation, LLC

  • Physical Therapist
  • Mobile, AL
National Provider Identifier
1902207236
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH2117 Issued in AL
Legal business name
THE CENTER FOR BALANCE AND REHABILITATION, LLC
Practice address
354 W Delwood Dr
Mobile, AL 36606-1723
Phone
(205) 259-3991
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Erik Dekle, PT
Title
President
Phone
(205) 259-3991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PTH2117 AL Primary

Addresses

Primary practice location

354 W Delwood Dr
Mobile, AL 36606-1723

Mailing address

354 W Delwood Dr
Mobile, AL 36606-1723
Phone (205) 259-3991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150213000957 AL Part B Supplier - Clinic/Group Practice 5890010839 Receives reassigned benefits from 4 practitioners
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

1220 Azalea Rd
Mobile, AL 36693
Phone (251) 260-0442

3995 Cottage Hill Rd
Ste C
Mobile, AL 36609

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1902207236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 W DELWOOD DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061723",
            "telephone_number": "205-259-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 W DELWOOD DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061723",
            "telephone_number": "205-259-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR BALANCE AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "DEKLE",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-259-3991",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH2117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.