NPIMap

Organization Active NPI

Body in Balance Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Linwood, NJ
National Provider Identifier
1932397643
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00915700 Issued in NJ
Legal business name
BODY IN BALANCE PHYSICAL THERAPY, LLC
Practice address
314 Central Ave Ste 2a
Linwood, NJ 08221-2005
Phone
(609) 365-8499
Fax
(609) 365-8498
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Ms. Eleanor Margaret Hagan, PT, MPTNPI 1194712372
Title
Owner/Physical Therapist
Phone
(609) 365-8499

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 40QA00915700 NJ Primary

Addresses

Primary practice location

314 Central Ave Ste 2a
Linwood, NJ 08221-2005

Mailing address

314 Central Ave
Suite 2a
Linwood, NJ 08221-2005
Phone (609) 365-8499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000504 NJ Part B Supplier - Clinic/Group Practice 8224214093 Receives reassigned benefits from 7 practitioners
Practice locations: Linwood, NJ

National Provider Directory

National Provider Directory

Locations

314 Central Ave
#2A
Linwood, NJ 08221
Phone (609) 365-8499

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1932397643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CENTRAL AVE",
            "address_2": "SUITE 2A",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212005",
            "telephone_number": "609-365-8499",
            "fax_number": "609-365-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CENTRAL AVE STE 2A",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212005",
            "telephone_number": "609-365-8499",
            "fax_number": "609-365-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IN BALANCE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "609-365-8499",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00915700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.