Body in Balance Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5066--24 Issued in WI

Legal business name

BODY IN BALANCE PHYSICAL THERAPY, LLC

Practice address

560 S Industrial Dr
Hartland, WI 53029-2324

Phone

(262) 369-7941

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Adam M. Davis, P.T.NPI 1376587303

Title

Owner

Phone

(262) 369-7941

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 4

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

• Adam M. Davis, P.T.

  • Physical Therapist
  • Wauwatosa, WI
  • NPI 1376587303
  Medicare reassignment Care Compare group NPD Authorized official
• Catherine Goldenstein, PT

  • Physical Therapist
  • Hartland, WI
  • NPI 1386144822
  Medicare reassignment Care Compare group NPD
• Paul Zeno Abler, P.T.

  • Physical Therapist
  • Hartland, WI
  • NPI 1235281254
  NPD (past)
• Gabriele H Langan, PT

  • Physical Therapist
  • Hartland, WI
  • NPI 1548458524
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1982880498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530290076",
            "telephone_number": "262-369-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S INDUSTRIAL DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292324",
            "telephone_number": "262-369-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IN BALANCE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-369-7941",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "5066--24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curt Bertram, CPO
• Barbara Binder, MSW, LCSW
• Daniel R Bird, M.S, LPC, CADC
• Bloom Counseling LLC
• Bluedot LLC
• Vincent Borkowski, MD, PHD
• Lauren K Bremberger, M.D.
• Katherine Ann Brewer, PT
• Brittany Lynn Brown, RN, IBCLC
• Sierra Caldwell

• Physical Therapy Clinic/Center in Hartland, WI
• Providers in Hartland, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.