BALANCE THERAPY OF TEXAS (NPI# 1134174808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134174808 |
| Entity Type | Organization |
| Organization Name | BALANCE THERAPY OF TEXAS |
| Other Organization Name | 360 BALANCE |
| Practice Address |
5608 Parkcrest Dr Ste 100 Austin TX 78731 |
| Mailing Address |
5608 Parkcrest Dr Ste 100 Austin TX 78731-4972 |
| Practice Telephone | 5123454664 |
| Mailing Telephone | 5123454664 |
| Mailing Fax Number | 5123456150 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-08-13 |
| Authorized Official Name | BRIDGETT D'ANN WALLACE (PRESIDENT) |
| Authorized Official Telephone | 5123454664 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 51455 | TX | Speech, Language and Hearing Service Providers |
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
1104610 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CIGNA # | 7362436 | 01 |
| TX | BCBS GROUP # | 0050HV | 01 |
| Other Name | Type Code |
|---|---|
| 360 Balance | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7900 Shoal Creek Blvd, Suite 200, Austin, TX 787578037 | 5123454664 | 5123456150 |
| Street Address |
5608 PARKCREST DR STE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608662 | Audrey Jeanne Ramirez | Physical Therapist | 5608 Parkcrest Dr Ste 100, Austin, TX 78731-4972 | 2020-08-06 |
| 1649759234 | Delesa Monroe | Physical Therapist | 5608 Parkcrest Dr Ste 100, Austin, TX 78731-4972 | 2018-08-14 |
| 1285027904 | Elizabeth S Becker | Physical Therapy Assistant | 5608 Parkcrest Dr Ste 100, Austin, TX 78731-4972 | 2015-03-05 |
| 1891129904 | Ashley Woodall | Audiologist | 5608 Parkcrest Dr Ste 100, Austin, TX 78731-4972 | 2013-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972063634 | Napa Center Usa, LLC | Physical Therapist | 8640 Burnet Rd, Austin, TX 78757 | 2019-03-20 |
| 1063451375 | Bridgett D'ann Wallace | Physical Therapist | 7900 Shoal Creek Blvd, Suite 200, Austin, TX 78757-8037 | 2006-06-05 |
| 1780150953 | Hannah Karine Zabel | Physical Therapist | 919 E 32nd St, Austin, TX 78705-2703 | 2018-10-15 |
| 1598245235 | Kristel Kay Louis | Physical Therapist | 9050 N Capital of Texas Hwy Ste 130, Austin, TX 78759-7268 | 2018-08-21 |
| 1780018150 | Donna Abrameit | Physical Therapist | 5555 N Lamar Blvd, Ste L 103, Austin, TX 78751-1073 | 2013-08-21 |
| 1033357017 | Jeanne Broussard Ballinger | Physical Therapist | 5555 N Lamar Blvd, Ste L 103, Austin, TX 78751-1073 | 2009-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356973275 | Sunil Mathew | Physical Therapist | 3012 Double Creek Dr, Grapevine, TX 76051-4251 | 2020-02-08 |
| 1205317286 | Felicia Youngblood | Physical Therapist | 8615 Lullwater Dri, Dallas, TX 75238 | 2018-08-27 |
| 1982133799 | Alishia Lindsay Schmitt | Physical Therapist | 6913 Camp Bowie Blvd Ste 141, Fort Worth, TX 76116-7165 | 2017-06-06 |
| 1770953655 | Alicia Danto | Physical Therapist | 3601 N Macgregor Way Ste 512, Houston, TX 77004-8004 | 2015-10-05 |
| 1154737740 | Michael Furtado | Physical Therapist | 411 W 14th St, Houston, TX 77008-4111 | 2014-07-03 |
| 1801225289 | Zahra Kadivar | Physical Therapist | 11626 Royal Oaks Vw, Houston, TX 77082-2842 | 2013-11-05 |
| 1912247032 | Jesly Lopez | Physical Therapist | 12055 Sabo Rd Apt 1017, Houston, TX 77089-6290 | 2013-02-26 |
| 1164710943 | Joseph Gerard Rauma | Physical Therapist | 221 Rosa Ln, Nacogdoches, TX 75965-1911 | 2011-07-14 |
| 1013207802 | Terri Lynn Moore | Physical Therapist | 411 N Washington Ave Ste 4000, Dallas, TX 75246-1776 | 2011-04-13 |
| 1053628776 | Kelly Twohey-byrne | Physical Therapist | 4141 Sw Fwy Ste 100, Houston, TX 77027-7330 | 2010-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.