Balanced Body Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BALANCED BODY PHYSICAL THERAPY PLLC

Practice address

55 Knolls Cres Apt 11a
Bronx, NY 10463-6355

Phone

(718) 644-6291

NPI assigned

Apr 21, 2020

Last updated

Jan 13, 2021By 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

Ms. Kristen Anne Tracey, DPTNPI 1861795122

Title

Owner

Phone

(718) 644-6291

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Kristen Ann Tracey, DPT

  • Physical Therapist
  • Bronx, NY
  • NPI 1861795122
  Medicare reassignment NPD Authorized official
• Andrea Schloss, P.T.

  • Physical Therapist
  • Bronx, NY
  • NPI 1356593354
  Medicare reassignment NPD

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1912527706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 KNOLLS CRES APT 11A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636355",
            "telephone_number": "718-644-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 KNOLLS CRES APT 11A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636355",
            "telephone_number": "718-644-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "TRACEY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-644-6291",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kristen.TraceyPT@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "55 Knolls Cres Apt 11A",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104636355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rameshkumar Baladaniya
• Elita G. Balakrishnan, MD
• Doraikannu Balakumar, M.D.
• Balance Counseling Services LCSW PLLC
• Balance Medical Professional Primary Services PLLC
• Balanced Occupational Therapy PC
• Vic Guerrero Balaoing, PT
• Bhavna N Balar, M.D.
• Nilesh N Balar, M.D.
• Tushar Pravinbhai Balar

• Physical Therapy Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.