EQUILIBRIUM BALANCE PERFORMANCE CENTER PHYSICAL THERAPY A PROF. CORP. (NPI# 1487845400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487845400 |
| Entity Type | Organization |
| Organization Name | EQUILIBRIUM BALANCE PERFORMANCE CENTER PHYSICAL THERAPY A PROF. CORP. |
| Practice Address |
1673 Donlon St Ste 201 Ventura CA 93003-5668 |
| Practice Telephone | 8053399718 |
| Practice Fax Number | 8053399728 |
| Mailing Telephone | 8053399718 |
| Mailing Fax Number | 8053399728 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2018-03-02 |
| Authorized Official Name | AMY M. GRIFFIN (PRESIDENT) |
| Authorized Official Telephone | 8053399718 |
| Authorized Official Credential | M.S.,P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT 27784 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ62926Z | 01 |
| Street Address |
1673 DONLON ST STE 201 |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-5668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053813766 | Brandon R Selvey | Physical Therapist | 1673 Donlon St Ste 201, Ventura, CA 93003-5668 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932327830 | Coastal Physical Therapy, Inc. | Clinic/Center | 5725 Ralston St Ste 103, Ventura, CA 93003-6053 | 2007-04-23 |
| 1205878865 | Blayne Liparoto | Clinic/Center | 4572 Telephone Rd, Suite 903, Ventura, CA 93003-5662 | 2006-06-11 |
| 1841299286 | Simi Valley Therapies West, Inc. | Clinic/Center | 4080 Loma Vista Rd, Ventura, CA 93003 | 2005-07-19 |
| 1215431093 | Pow Physical Therapy, A Professional Corporation | Clinic/Center | 4601 Telephone Rd Ste 107, Ventura, CA 93003-5671 | 2018-03-19 |
| 1275814022 | Williams Physical Therapy, Inc | Clinic/Center | 970 Petit Ave, Suite A, Ventura, CA 93004-2215 | 2011-09-07 |
| 1346577533 | Abigail Brower | Clinic/Center | 5725 Ralston St, Suite 103, Ventura, CA 93003-6053 | 2009-11-09 |
| 1770810087 | Darryl Williams | Clinic/Center | 5725 Ralston St, Suite 103, Ventura, CA 93003-6053 | 2009-11-06 |
| 1699001685 | Coastal Physical Therapy Inc | Clinic/Center | 5725 Ralston St, #103, Ventura, CA 93003-6053 | 2009-10-26 |
| 1851533475 | Innovative Senior Care Rehabilitation Agency of Los Angeles LLC | Clinic/Center | 921 E Main St, Ste B, Ventura, CA 93001-3077 | 2009-03-27 |
| 1538356191 | Core Integration Physical Therapy | Clinic/Center | 2112 Eastman Ave, Suite 101, Ventura, CA 93003-5773 | 2007-09-27 |
| Find all providers in VENTURA | ||||
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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.