BALANCE & NEUROLOGICAL REHABILITATION (NPI# 1760570717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760570717 |
Entity Type | Organization |
Organization Name | BALANCE & NEUROLOGICAL REHABILITATION |
Practice Address |
3100 Broadway St Suite 507 Kansas City MO 64111-2658 |
Practice Telephone | 8166797056 |
Practice Fax Number | 8169317392 |
Mailing Telephone | 8166797056 |
Mailing Fax Number | 8169317392 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DEBORAH COOKE (OWNER) |
Authorized Official Telephone | 8166797056 |
Authorized Official Credential | PT, PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2251N0400X |
Physical Therapist Specialization: Neurology |
11-02878 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
R0556 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | BLUE CROSS/BLUE SHIELD | 399054 | 01 |
MO | BLUE CROSS/BLUE SHIELD | 32911028 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962592741 | Balance & Neurological Rehabilitation | Physical Therapist | 12000 W 110th St, Suite 400, Overland Park, KS 66210-3938 | 2006-10-13 |
Street Address |
3100 BROADWAY ST SUITE 507 |
City | KANSAS CITY |
State | MO |
Zip Code | 64111-2658 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598766362 | Jamie Mason | Counselor | 3100 Broadway St, Suite 1104, Kansas City, MO 64111-2658 | 2005-08-03 |
1952740557 | Candice Wise | Social Worker | 3100 Broadway St, Suite 218, Kansas City, MO 64111-2658 | 2013-06-18 |
1104174861 | Jacqueline Kay Klingler | Social Worker | 3100 Broadway St, Suite 1000, Kansas City, MO 64111-2658 | 2012-08-28 |
1629337407 | Alan Lloyd Archer | Counselor | 3100 Broadway St, Suite 218, Kansas City, MO 64111-2658 | 2012-05-14 |
1518239516 | Jo Lynne Weilert | Social Worker | 3100 Broadway St, Kansas City, MO 64111-2658 | 2012-02-06 |
1831486059 | Karen Uptegrove-ryan | Psychologist | 3100 Broadway St, Suite 1104, Kansas City, MO 64111-2658 | 2011-07-08 |
1851685473 | Jenna Dey | Counselor | 3100 Broadway St, Ste. 400, Kansas City, MO 64111-2658 | 2011-05-31 |
1265737472 | Metropolitan Organization To Counter Sexual Assault | Community/Behavioral Health | 3100 Broadway St, Suite 400, Kansas City, MO 64111-2658 | 2011-01-19 |
1497050967 | Kristin Lea Mills-trowbridge | Counselor | 3100 Broadway St, Suite 400, Kansas City, MO 64111-2591 | 2011-01-14 |
1154626828 | Jessica Erin Walker | Counselor | 3100 Broadway St, 400, Kansas City, MO 64111-2658 | 2011-01-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
Find all providers in zip 64111 |
Taxonomy Code | 2251N0400X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Neurology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558760587 | John Joseph Klay | Physical Therapist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2014-08-14 |
1972882280 | Jason Lee Rucker | Physical Therapist | 3901 Rainbow Blvd, Mail Stop 2002, Kansas City, KS 66103-2937 | 2011-08-04 |
1114160785 | Lee Ann Sherry | Physical Therapist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2009-04-13 |
1326134347 | Deborah Lee Cooke | Physical Therapist | 3100 Broadway St, Suite 507, Kansas City, MO 64111-2658 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811514672 | Joshua Charles Layman | Physical Therapist | 2103 S Springfield Ave, Bolivar, MO 65613-9686 | 2020-06-28 |
1396883831 | Joan Ann Puglisi | Physical Therapist | 234 Roseacre Ln, Webster Groves, MO 63119-4042 | 2007-02-04 |
1558990416 | Amy Robbins | Physical Therapist | 3550 S National Ave Ste 200, Springfield, MO 65807-7333 | 2020-04-03 |
1487281804 | Teresa Gray | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-03-25 |
1437666716 | Amy Son | Physical Therapist | 915 N Grand Blvd, B721, Saint Louis, MO 63106 | 2018-01-08 |
1972994309 | Nicole Gundersen | Physical Therapist | 12380 Depaul Drive, Bridgeton, MO 63044-2511 | 2015-02-06 |
1245545755 | Tammy Lynn Wehmeyer | Physical Therapist | 2 Harbor Bend Ct, Lake St Louis, MO 63367-1478 | 2010-08-10 |
1104139252 | Leah Michelle Richter | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2010-07-19 |
1245554997 | Johanna Maria Paniagua | Physical Therapist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4108 | 2010-03-24 |
1396070397 | Rosemary Archambault Norris | Physical Therapist | 3437 Caroline St, Room 1026, Saint Louis, MO 63104-1111 | 2009-10-08 |
Find all providers with the same taxonomy |
City | KANSAS CITY |
Zip Code | 64111 |
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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.