Organization Active NPI

Neurobalance Rehab LLC

Doing business as NeuroBalance Rehab

  • Physical Therapy Clinic/Center
  • Florence, AZ
National Provider Identifier
1922886704
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEUROBALANCE REHAB LLC
Doing business as
NeuroBalance Rehab
Practice address
6140 E Helios Dr
Florence, AZ 85132-5613
Phone
(623) 252-2572
NPI assigned
Sep 21, 2023
Last updated
Sep 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Dr. Matthew Nelson, DPTNPI 1740068519
Title
Physical Therapist
Phone
(623) 252-2572

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

6140 E Helios Dr
Florence, AZ 85132-5613

Mailing address

6140 E Helios Dr
Florence, AZ 85132-5613
Phone (623) 252-2572

Other names 1

  • NeuroBalance Rehab Doing business as

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": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1922886704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 E HELIOS DR",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851325613",
            "telephone_number": "623-252-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 E HELIOS DR",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851325613",
            "telephone_number": "623-252-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBALANCE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "623-252-2572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroBalance Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.