Constance Balles, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160-000227 Issued in IN

Practice address

1513 Dekalb Ave
Sycamore, IL 60178-2703

Phone

(815) 758-0000

Fax

(815) 991-9484

NPI assigned

Mar 21, 2013

Sex

Female

Sole proprietor

Yes

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.

• Midwest Orthopaedic Institute P C

  • Orthopaedic Surgery Physician
  • Sycamore, IL
  • NPI 1013976927
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972845592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 ABERDEEN CT",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783175",
            "telephone_number": "815-758-0000",
            "fax_number": "815-756-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 DEKALB AVE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782703",
            "telephone_number": "815-758-0000",
            "fax_number": "815-991-9484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2128 Midlands Ct",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601783199",
            "country_code": "US",
            "telephone_number": "815-758-0000",
            "fax_number": "815-756-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLES",
        "first_name": "CONSTANCE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "160000227",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "160-000227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ami Beth Atkins, MAT
• Jelmir Atkins, LPC
• Back to Balance Counseling and Consulting PLLC
• Daniel Joseph Bade, DO
• Rugiatu Bah, PHARM.D.
• Elena Marie Balmaseda
• Brianna Jean Baltrusis
• Rae Bardell, BCBA, LCSWM
• David Bartelt, ATC, OTC
• Jayna P Bartelt, D.T.

• All providers in Sycamore, IL
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.