ADVANCED BALANCE AND PHYSICAL THERAPY LLC (NPI# 1629556055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629556055 |
| Entity Type | Organization |
| Organization Name | ADVANCED BALANCE AND PHYSICAL THERAPY LLC |
| Practice Address |
856 Sage Dr Ste 301b Cedar City UT 84720 |
| Mailing Address |
Po Box 2542 Cedar City UT 84721-2542 |
| Practice Telephone | 4358175408 |
| Mailing Telephone | 4358175408 |
| Enumeration Date | 2018-07-28 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | BENJAMIN JOHN JOHNSON (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4358175408 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2302 S 2160 E, St George, UT 847907034 | 4358175408 |
| Street Address |
856 SAGE DR STE 301B |
| City | CEDAR CITY |
| State | UT |
| Zip Code | 84720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255907 | Todd Shakespeare | Pharmacist | 1330 S Providence, Cedar City, UT 84720 | 2020-11-02 |
| 1376165530 | Kirsten Leigh Graham | Psychologist | 351 W University Blvdgeneral Classrooms 308-o, General Classrooms 308-o, Cedar City, UT 84720 | 2020-05-11 |
| 1871012567 | Michael Angelo Dawson | Technician, Other | 245 E 680 N, Cedar City, UT 84720 | 2017-09-13 |
| 1114441441 | Asd Sleep LLC | Prosthetic/Orthotic Supplier | 1957 W Royal Hunte Dr, #250, Cedar City, UT 84720 | 2017-07-28 |
| 1073988077 | Southwest Utah Community Health Center | Clinic/Center | 245 East 680 South, Family Healthcare Center East Clinic, Cedar City, UT 84720 | 2015-12-02 |
| 1750710455 | Matthew Reiser | Psychologist | 136 West Center St, Southern Utah University Caps, Cedar City, UT 84720 | 2013-11-04 |
| 1619249471 | Debra Heath | Licensed Practical Nurse | 440 North Paiute Dr., Cedar, UT 84720 | 2012-02-08 |
| 1942591441 | Glendon Arly Pedersen | Technician, Health Information | 57 N. 200 E., Cedar City, UT 84720 | 2011-05-02 |
| 1457642407 | Cody Wayne Hutchings | Technician, Other | 54 North 200 East, Cedar City, UT 84720 | 2011-04-26 |
| 1346557907 | Gordon Reid | Social Worker | 121 N. 1550 W., Cedar City, UT 84720 | 2010-09-02 |
| Find all providers in zip 84720 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1487261707 | Precision Jointcare LLC | Clinic/Center | 12523 S Creek Meadow Rd Ste 109, Riverton, UT 84065-7299 | 2020-09-30 |
| 1184231664 | Mountain Strong Spine and Performance | Clinic/Center | 1478 N 4925 W, Plain City, UT 84404-8300 | 2020-09-28 |
| 1881215085 | Move Well Age Well, LLC | Clinic/Center | 2223 S Highland Dr Ste E6-256, Salt Lake City, UT 84106-3672 | 2020-04-29 |
| 1215557434 | Basin Therapy LLC | Clinic/Center | 101 E 1875 S, Roosevelt, UT 84066-3828 | 2020-04-17 |
| 1780222893 | Well Being Pelvic Physical Therapy | Clinic/Center | 111 E 5600 S Ste 222, Murray, UT 84107-8164 | 2019-12-19 |
| 1265094619 | Recalibrate Physical Therapy | Clinic/Center | 3450 S 400 E, Salt Lake City, UT 84115-4604 | 2019-07-06 |
| 1598229155 | Neurorev Pllc | Clinic/Center | 520 N Market Place Dr Ste 200, Centerville, UT 84014-4904 | 2019-01-29 |
| 1104395821 | Color Country Physical Therapy LLC | Clinic/Center | 450 E Clinic Way, Ste B, Parowan, UT 84761 | 2018-11-26 |
| 1134642911 | Wilde Heart Pt LLC | Clinic/Center | 3333 S 900 E Ste 140, Millcreek, UT 84106-2211 | 2017-07-24 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR CITY |
| Zip Code | 84720 |
Please comment or provide details below to improve the information on ADVANCED BALANCE AND PHYSICAL THERAPY LLC.
| 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.