BODY BALANCE AND BEYOND INC (NPI# 1902077753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902077753 |
Entity Type | Organization |
Organization Name | BODY BALANCE AND BEYOND INC |
Practice Address |
146 South Blvd San Mateo CA 94402-2462 |
Practice Telephone | 6506381988 |
Practice Fax Number | 6506380788 |
Mailing Telephone | 6506381988 |
Mailing Fax Number | 6506380788 |
Enumeration Date | 2008-03-20 |
Last Update Date | 2011-11-18 |
Authorized Official Name | MRS. BLANKA OPUSTILOVA (CEO) |
Authorized Official Telephone | 6506381988 |
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 |
Street Address |
146 SOUTH BLVD |
City | SAN MATEO |
State | CA |
Zip Code | 94402-2462 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235359522 | Shahram Danaei-boroumand | Physical Therapy Assistant | 146 South Blvd, San Mateo, CA 94402-2462 | 2007-04-27 |
1811505324 | Daniela Najarro | Physical Therapist | 146 South Blvd, San Mateo, CA 94402-2462 | 2020-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
Find all providers in zip 94402 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255571196 | Campus Physical Therapy Center | Clinic/Center | 101 S San Mateo Dr Ste 200, San Mateo, CA 94401-3843 | 2009-03-05 |
1972104594 | Ayurbliss Physical Therapy | Clinic/Center | 407 N San Mateo Dr, San Mateo, CA 94401-2417 | 2020-11-02 |
1699172031 | Kinsman Rehab Services | Clinic/Center | 1900 Ofarrell St, Suite 110, San Mateo, CA 94403-1386 | 2014-12-01 |
1578704045 | San Mateo Physical Therapy Center | Clinic/Center | 101 S San Mateo Dr, 200, San Mateo, CA 94401-3819 | 2009-03-13 |
1669613139 | Campus Physical Therapy Inc | Clinic/Center | 101 S San Mateo Dr, 200, San Mateo, CA 94401-3819 | 2009-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
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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.