COREBALANCE THERAPY LLC (NPI# 1659572147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659572147 |
| Entity Type | Organization |
| Organization Name | COREBALANCE THERAPY LLC |
| Practice Address |
906 W University Ave Suite 120 Flagstaff AZ 86001 |
| Practice Telephone | 9285569935 |
| Practice Fax Number | 9287744277 |
| Mailing Telephone | 9285569935 |
| Mailing Fax Number | 9287744277 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | AMY FLORY (CO-OWNER) |
| Authorized Official Telephone | 9285569935 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHEILD | AZ0462940 | 01 |
| Street Address |
906 W UNIVERSITY AVE SUITE 120 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750319372 | James D Mccallum | Physical Therapist | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2006-06-30 |
| 1457880338 | Tiana Tallant | Physical Therapist | 906 W University Ave, Flagstaff, AZ 86001-2986 | 2017-06-05 |
| 1447608260 | Cora Louise Braun | Physical Therapist | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2016-06-02 |
| 1689044935 | Ken Baumgartner | Behavioral Analyst | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2015-09-30 |
| 1841577707 | Katie Elizabeth Pierce | Physical Therapist | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2011-11-07 |
| 1609007111 | Colleen Gest | Physical Therapist | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2009-07-31 |
| 1235376427 | Rebecca Watson | Behavioral Analyst | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2009-01-09 |
| 1699910877 | Behavioral Consultation Services of Northern Arizona | Early Intervention Provider Agency | 906 W University Ave, Suite 120, Flagstaff, AZ 86001-2986 | 2008-12-02 |
| 1710011374 | Flagstaff Pediatric Dentistry, P.C. | Dentist | 906 W University Ave, Suite 110, Flagstaff, AZ 86001-2986 | 2007-03-15 |
| 1467518241 | Lesley Diana Lutes | Psychologist | 906 W University Ave, Ste 120, Flagstaff, AZ 86001 | 2006-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639113400 | Lynn E Medoff | Physical Medicine & Rehabilitation | 1428 N Mariposa Rd, Flagstaff, AZ 86004-7347 | 2006-06-15 |
| 1124029541 | Donald Evons Berlyn | Physical Medicine & Rehabilitation | 1200 W Route 66, Flagstaff, AZ 86001-6238 | 2005-08-09 |
| 1881195485 | Holt Medical Pllc | Physical Medicine & Rehabilitation | 1851 N Gemini Dr, Flagstaff, AZ 86001-1607 | 2018-02-28 |
| 1104129600 | Aurora Centre, Inc | Physical Medicine & Rehabilitation | 1851 N Gemini Dr, Flagstaff, AZ 86001-1607 | 2010-12-06 |
| 1609190115 | Marshall Meier | Physical Medicine & Rehabilitation | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2010-03-26 |
| 1194994665 | Lynn Medoff Physical Therapy | Physical Medicine & Rehabilitation | 1428 N Mariposa Rd, Flagstaff, AZ 86004-7347 | 2008-02-28 |
| 1487781928 | Switzer Medical Inc | Physical Medicine & Rehabilitation | 1016 W University Ave, Suite 201, Flagstaff, AZ 86001-2994 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323006 | Brenton Hamann | Physical Medicine & Rehabilitation | 21321 E Ocotillo Rd Ste I122, Queen Creek, AZ 85142-7591 | 2020-10-13 |
| 1053927665 | Plr Physiatry, LLC | Physical Medicine & Rehabilitation | 23002 N Las Lavatas Rd, Scottsdale, AZ 85255-4307 | 2020-09-18 |
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1437767969 | Trenton Fogelson | Physical Medicine & Rehabilitation | 3201 W Peoria Ave Ste D800, Phoenix, AZ 85029-4600 | 2020-07-21 |
| 1710595962 | Elevate Health Clinics LLC | Physical Medicine & Rehabilitation | 2127 E Baseline Rd Ste 101, Tempe, AZ 85283-1537 | 2020-07-14 |
| 1568086155 | Toca At Banner Health LLC | Physical Medicine & Rehabilitation | 9377 E Bell Rd Ste 231, Scottsdale, AZ 85260-1503 | 2020-05-30 |
| 1407491921 | Chandler Ray 1 LLC | Physical Medicine & Rehabilitation | 1050 E Ray Rd Ste 4a, Chandler, AZ 85225-1777 | 2019-11-07 |
| 1669029609 | Jack Joel Little | Physical Medicine & Rehabilitation | 9784 W Yearling Rd Ste 1520, Peoria, AZ 85383-1379 | 2019-08-23 |
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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.