Brian J Balgo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13777 Issued in FL

Practice address

2030 S Patrick Dr
Indian Harbour Beach, FL 32937-4400

Phone

(321) 727-2707

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Brevard County Therapy Staffing Inc.

  • Physical Therapist
  • Melbourne, FL
  • NPI 1396404927
  Medicare reassignment NPD Authorized official
• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment NPD

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1972541456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 WICKHAM LAKES DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402227",
            "telephone_number": "321-795-6465",
            "fax_number": "321-633-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S PATRICK DR",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374400",
            "telephone_number": "321-727-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALGO",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-12-17",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT13777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantis Chiropractic Inc
• Atlantis Integrative Medicine and Psychiatry Wellness Center PLLC
• Atlantis Urgent Care Inc
• Atlantis Urgent Care, LLC
• Atlas Vein Care Specialists PA
• Brian Emmet Baney, A.T.C.
• Jennifer Bannon
• Alexandra Bates
• Beach Medical Imaging, PA
• Beach Medical Specialists LLC

• Physical Therapist in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.