Ballou Physiotherapy and Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BALLOU PHYSIOTHERAPY AND PERFORMANCE

Practice address

9300 Emmett Rd
Glen Allen, VA 23060-3521

Phone

(703) 887-2876

NPI assigned

Jul 1, 2018

Last updated

Jul 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Ballou, PTNPI 1124478813

Title

Founder

Phone

(703) 887-2876

Specialties & licenses 1

Addresses

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.

• Daniel Ballou

  • Physical Therapist
  • Fredericksburg, VA
  • NPI 1124478813
  NPD Authorized official

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

{
    "created_epoch": "1530403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530403200000",
    "number": "1932694064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 EMMETT RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 EMMETT RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603521",
            "telephone_number": "703-887-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLOU PHYSIOTHERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-01",
        "last_updated": "2018-07-01",
        "status": "A",
        "authorized_official_last_name": "BALLOU",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "703-887-2876",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shavon L Bailey, LPC
• Kellye Baker, DNP, PMHNP-BC
• Reginia M Baker
• Andrew Christopher Bako
• Stacie Lynn Baldwin, OTR/L
• Mary Ellen Cox Bandy, RPH
• Suman Kumar Banerjee, MD
• Sonia Sophie Bapoungue
• Morgan Taylor Barber, LPC-R, CSAC-S
• Bare Face Rva, LLC

• Physical Therapy Clinic/Center in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2018; 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.