Organization Active NPI

Life Balance Inc

  • Occupational Therapist
  • Anoka, MN
National Provider Identifier
1972672756
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102845 Issued in MN
Legal business name
LIFE BALANCE INC
Practice address
22426 Saint Francis Blvd
Anoka, MN 55303-9670
Phone
(763) 753-2500
Fax
(763) 753-5999
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Casey Snow, M.A. OT
Title
Ceo, Occupational Therapist
Phone
(763) 389-8951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 102845 MN Primary

Addresses

Primary practice location

22426 Saint Francis Blvd
Anoka, MN 55303-9670

Mailing address

30411 152ND St
Princeton, MN 55371-8507
Phone (763) 389-8951

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972672756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30411 152ND ST",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553718507",
            "telephone_number": "763-389-8951",
            "fax_number": "763-389-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22426 SAINT FRANCIS BLVD",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553039670",
            "telephone_number": "763-753-2500",
            "fax_number": "763-753-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CEO,  OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "763-389-8951",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A. OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.