NPIMap

Organization Active NPI

Balance Physical Therapy & Rehabilitation PLLC

  • Physical Therapist
  • New Hyde Park, NY
National Provider Identifier
1942393855
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023712 Issued in NY
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
Last updated
Dec 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Ericson Navarro, PTNPI 1407863350
Title
President
Phone
(347) 819-1531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.