Organization Active NPI

Harold Manrique, MPT

Doing business as Balanced Body Physical Therapy

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1962194902
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HAROLD MANRIQUE, MPT
Doing business as
Balanced Body Physical Therapy
Practice address
22 Odyssey Ste 260
Irvine, CA 92618-7701
Phone
(949) 748-7806
Fax
(949) 748-7892
NPI assigned
May 25, 2023
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Mr. Harold Paul Manrique, MPTNPI 1427121649
Title
Ceo
Phone
(949) 748-7806

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

22 Odyssey Ste 260
Irvine, CA 92618-7701

Mailing address

22 Odyssey Ste 260
Irvine, CA 92618-7701
Phone (949) 748-7806

Other names 1

  • Balanced Body Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230719000835 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264892496 Receives reassigned benefits from 3 practitioners
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

22 Odyssey
Ste 260
Irvine, CA 92618
Phone (949) 748-7806

Practitioners & affiliated clinicians

Practitioners 5

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": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1962194902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187701",
            "telephone_number": "949-748-7806",
            "fax_number": "949-748-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187701",
            "telephone_number": "949-748-7806",
            "fax_number": "949-748-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD MANRIQUE, MPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "MANRIQUE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-748-7806",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Body Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.