Organization Active NPI

Balancing Boots Therapeutic Riding Center Inc

  • Recreation Therapist
  • Palm Coast, FL
National Provider Identifier
1902712417
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Legal business name
BALANCING BOOTS THERAPEUTIC RIDING CENTER INC
Practice address
14 Burning Bush PL
Palm Coast, FL 32137-8811
Phone
(386) 237-2219
NPI assigned
Aug 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Michele Gourley, PATH ESMHL CTRI
Title
Owner
Phone
(386) 237-2219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225800000X Primary

Addresses

Primary practice location

14 Burning Bush PL
Palm Coast, FL 32137-8811

Mailing address

14 Burning Bush PL
Palm Coast, FL 32137-8811
Phone (386) 237-2219

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1902712417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BURNING BUSH PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378811",
            "telephone_number": "386-237-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BURNING BUSH PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378811",
            "telephone_number": "386-237-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCING BOOTS THERAPEUTIC RIDING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "GOURLEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-237-2219",
        "authorized_official_credential": "PATH ESMHL CTRI"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.