Organization Active NPI

Balance Point Physical Therapy LLC

  • Physical Therapist
  • S Portland, ME
National Provider Identifier
1922555267
Registry record updated Sep 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1822 Issued in ME
Legal business name
BALANCE POINT PHYSICAL THERAPY LLC
Practice address
945 Sawyer St
S Portland, ME 04106-6535
Phone
(207) 233-9272
NPI assigned
Sep 3, 2016
Last updated
Sep 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2016

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

Authorized official

Name
Eliza Grannis Lussier, PTNPI 1215981105
Title
Ceo
Phone
(207) 233-9272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1822 ME Primary

Addresses

Primary practice location

945 Sawyer St
S Portland, ME 04106-6535

Mailing address

945 Sawyer St
S Portland, ME 04106-6535
Phone (207) 233-9272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170615000625 ME Part B Supplier - Clinic/Group Practice 1254609225 Receives reassigned benefits from 1 practitioner
Practice locations: South Portland, ME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472860800000",
    "number": "1922555267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 SAWYER ST",
            "city": "S PORTLAND",
            "state": "ME",
            "postal_code": "041066535",
            "telephone_number": "207-233-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SAWYER ST",
            "city": "S PORTLAND",
            "state": "ME",
            "postal_code": "041066535",
            "telephone_number": "207-233-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE POINT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-03",
        "last_updated": "2016-09-03",
        "status": "A",
        "authorized_official_last_name": "LUSSIER",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_middle_name": "GRANNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-233-9272",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; 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.