MR. MICHAEL BALLENTINE (NPI# 1245519313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245519313 |
Entity Type | Individual |
Full Name | MR. MICHAEL BALLENTINE |
Credential | DPT |
Practice Address |
22122 Sherman Way Canoga Park CA 91303-1140 |
Mailing Address |
1965 Hillhurst Ave Fl 1 Los Angeles CA 90027-2711 |
Practice Telephone | 8185926030 |
Mailing Telephone | 3239129166 |
Enumeration Date | 2011-08-08 |
Last Update Date | 2017-11-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
P80708 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
22122 SHERMAN WAY |
City | CANOGA PARK |
State | CA |
Zip Code | 91303-1140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043342397 | Custom P.t., A Physical Therapy Corp | Physical Therapist | 22122 Sherman Way, Suite 106, Canoga Park, CA 91303-1140 | 2007-03-12 |
1477090181 | Karissa Dawn Ly | Physical Therapist | 22122 Sherman Way, Suite 106, Canoga Park, CA 91303-1140 | 2017-01-20 |
1518119346 | Caritas Home Health Providers Inc. | Home Health | 22122 Sherman Way, Suite 308, Canoga Park, CA 91303-1140 | 2008-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518574839 | Diagnostic Investments LLC | Clinical Medical Laboratory | 7023 Canoga Avenue Suite B, Canoga Park, CA 91303 | 2020-09-30 |
1295353274 | Saadat Aimaq | Dietitian, Registered | 6800 Variel Ave, #203, Canoga Park, CA 91303 | 2020-07-07 |
1013550599 | California Recovery Center Inc | Clinic/Center | 6921 Alabama Ave, Canoga Park, Ca, CA 91303 | 2019-10-28 |
1598242745 | Dong Hyun Chang | Acupuncturist | 7318 Topanga Canyon Blvd., Canoga Park, CA 91303 | 2018-07-20 |
1063908689 | Caremed Hospice Inc | Hospice Care, Community Based | 22048 Sherman Way Ste 309, Canoga Park, CA 91303 | 2018-07-06 |
1366968190 | Universal Healthcare Group Dme, Inc | Durable Medical Equipment & Medical Supplies | 20944 Sherman Way Ste 215, Canoga Park, CA 91303 | 2017-08-14 |
1205357233 | Sepulveda Plaza Medical Center Inc | Chiropractor | 7318 Topanga Canyon Blvd. Suite 118, Canoga Park, CA 91303 | 2017-06-29 |
1164942074 | Christopher Lang Sr. | Clinical Exercise Physiologist | 21200 Kittridge Street, Suite 3238, Woodland Hills, CA 91303 | 2017-06-21 |
1962895235 | Sinai Dental Clinic | Point of Service | 7257 Vassar Ave #203, Canoga Park, CA 91303 | 2015-03-11 |
1033515838 | True Care Home Health Services, Inc | Home Health | 7355 Topanga Canyon Blvd Ste 201, Canoga Park, CA 91303 | 2014-11-06 |
Find all providers in zip 91303 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396024378 | Joshua A Mazalian | Physical Therapist | 7658 Shoup Ave, Canoga Park, CA 91304-5420 | 2011-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
Find all providers with the same taxonomy |
City | CANOGA PARK |
Zip Code | 91303 |
Please comment or provide details below to improve the information on MR. MICHAEL BALLENTINE.
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.