Balance Regenerative Sports and Rehabilitation Medicine PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BALANCE REGENERATIVE SPORTS AND REHABILITATION MEDICINE PLLC

Practice address

40 8TH Ave
Ground Floor
Brooklyn, NY 11217-3974

Phone

(718) 400-8840

Fax

(718) 400-8850

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Rebecca Brown, MDNPI 1164506721

Title

Owner

Phone

(718) 400-8840

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24624/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Rebecca C Brown, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Englewood, NJ
  • NPI 1164506721

  NY

  Medicare reassignment NPD Authorized official
• Gerald Edward Wintrob, O.D.

  • Vision Therapy Optometrist
  • Brooklyn, NY
  • NPI 1053450809
  NPD
• Therese Bimka, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1750436044
  NPD (past)

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1922775717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 8TH AVE",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173974",
            "telephone_number": "718-400-8840",
            "fax_number": "718-400-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 8TH AVE",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173974",
            "telephone_number": "718-400-8840",
            "fax_number": "718-400-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE REGENERATIVE SPORTS AND REHABILITATION MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-400-8840",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balance Choice Care
• Balance Diagnostics Medical PC
• Balance Mobility Physical Therapy PLLC
• Balance Nutrition PC
• Balance Pro Physical Therapy PC (Manual physical therapy clinics)
• Balance Therapy PT PLLC (FYZICAL Therapy and Balance Therapy - Bay Ridge)
• Balanced Nutrition Nyc, PLLC
• Balanced Wellness Massage Inc
• Balancetest, Inc (Cornell Diagnostic Services)
• Inga Balanovsky, OTR/L

• Physical Medicine & Rehabilitation Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.