Active NPI
Balance Physical Therapy & Rehabilitation PLLC
- Physical Therapist
- New Hyde Park, NY
National Provider Identifier
1942393855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023712
- Legal business name
- BALANCE PHYSICAL THERAPY & REHABILITATION PLLC
- Practice address
- 103 Terrace Blvd
New Hyde Park, NY 11040-4330 - Phone
- (347) 819-1531
- Fax
- (718) 504-6464
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ericson Navarro, PT
- Title
- President
- Phone
- (347) 819-1531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 023712 | NY | Primary |
Addresses
Primary practice location
103 Terrace Blvd
New Hyde Park, NY 11040-4330
Mailing address
103 Terrace Blvd
New Hyde Park, NY 11040-4330
Phone (347) 819-1531
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- New Hyde Park, NY
- NPI 1124156948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607644800000",
"number": "1942393855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 TERRACE BLVD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404330",
"telephone_number": "347-819-1531",
"fax_number": "718-540-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 TERRACE BLVD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404330",
"telephone_number": "347-819-1531",
"fax_number": "718-504-6464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCE PHYSICAL THERAPY & REHABILITATION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A",
"authorized_official_last_name": "NAVARRO",
"authorized_official_first_name": "ERICSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-819-1531",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "023712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.