Balance and Neurologic Center of the Rockies LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8313 Issued in CO

Legal business name

BALANCE AND NEUROLOGIC CENTER OF THE ROCKIES LLC

Practice address

5387 Manhattan Cir
Suite 100a
Boulder, CO 80303-4284

Phone

(303) 929-2950

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Jaimy Wahab, PT, DPT, NCSNPI 1093868176

Title

Sole Member

Phone

(303) 929-2950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10587/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Jaimy Catherine Wahab, DPT

  • Physical Therapist
  • Centennial, CO
  • NPI 1093868176
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1922497684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 ROBB ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800053489",
            "telephone_number": "303-929-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5387 MANHATTAN CIR",
            "address_2": "SUITE 100A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034284",
            "telephone_number": "303-929-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE AND NEUROLOGIC CENTER OF THE ROCKIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "WAHAB",
        "authorized_official_first_name": "JAIMY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "303-929-2950",
        "authorized_official_credential": "PT, DPT, NCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Bajusz, CMT
• Doree Baker-Newbery, M.S., CAC III, MAC,
• Jessica V Baker
• Wesley Shane Baker
• Tanya Alejandra Balado
• Balanced Transitions LLC
• Arin Balbinder, D.C.
• Kelty Rose Balcerzak
• Sara Baldocchi, MOT, OTR/L
• Lisa M Balduf, MD

• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.