IN BALANCE PHYSICAL THERAPY, PLLC (NPI# 1538717079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538717079 |
| Entity Type | Organization |
| Organization Name | IN BALANCE PHYSICAL THERAPY, PLLC |
| Practice Address |
1855 Richmond Ave Staten Island NY 10314-3940 |
| Practice Telephone | 7183702346 |
| Mailing Telephone | 7183702346 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | ALICIA HARRINGTON (OWNER) |
| Authorized Official Telephone | 7183702346 |
| Authorized Official Credential | PT,DPT |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | IN BALANCE PHYSICAL THERAPY, PLLC | 1855 Richmond Avenue, Staten Island, Ny 10314 |
| Street Address |
1855 RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635565 | Tamara Sibalic-mandic | Internal Medicine | 1855 Richmond Ave, Suite 102, Staten Island, NY 10314-3940 | 2005-08-09 |
| 1447732649 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 1855 Richmond Ave, Staten Island, NY 10314-3940 | 2018-09-04 |
| 1760700843 | Azalesha Abrahim Rodriguez | Physician Assistant | 1855 Richmond Ave, Staten Island, NY 10314-3940 | 2010-05-13 |
| 1477703130 | Michael Hamlen Campanella | Obstetrics & Gynecology | 1855 Richmond Ave, Staten Island, NY 10314 | 2008-09-30 |
| 1033225370 | David M Herzog Md PC | Obstetrics & Gynecology | 1855 Richmond Ave, Staten Island, NY 10314-3909 | 2006-08-21 |
| 1205876018 | Richard Rouder, Dpm, PC | Podiatrist | 1855 Richmond Ave, Staten Island, NY 10314-3912 | 2006-06-08 |
| 1174574651 | Gwenn Lentine | Obstetrics & Gynecology | 1855 Richmond Ave, Staten Island, NY 10314-3909 | 2006-05-12 |
| 1487618468 | David M Herzog | Obstetrics & Gynecology | 1855 Richmond Ave, Staten Island, NY 10314-3909 | 2006-04-14 |
| 1225098866 | Saam A Miller | Obstetrics & Gynecology | 1855 Richmond Ave, Staten Island, NY 10314-3909 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892421 | Total Cure Pt PC | Clinic/Center | 620 Bloomingdale Rd, Staten Island, NY 10309-2028 | 2020-08-23 |
| 1215550363 | Target Physical Therapy PC | Clinic/Center | 483 Ingram Ave, Staten Island, NY 10314-4414 | 2020-05-24 |
| 1205337300 | Ryan Dinneny | Clinic/Center | 19 Emmet Ave, Staten Island, NY 10306-2719 | 2018-02-23 |
| 1730699448 | Therapy Masters, LLC | Clinic/Center | 1434 Forest Hill Rd, Staten Island, NY 10314-6318 | 2017-10-08 |
| 1205358025 | Big City Physical Therapy, Pllc | Clinic/Center | 3202 Morley Ave, Staten Island, NY 10306-1906 | 2017-07-13 |
| 1821474263 | M.e.p.t. Physical Therapy, P.C. | Clinic/Center | 322 Lathrop Ave, Staten Island, NY 10302-2532 | 2015-08-07 |
| 1689051260 | Precious Movements Physical Therapy, P.C. | Clinic/Center | 1592 Richmond Ave, Staten Island, NY 10314-1529 | 2015-05-02 |
| 1710011465 | Lugo Comprehensive Pt Services | Clinic/Center | 515 Neckar Ave, Staten Island, NY 10304-4511 | 2007-03-15 |
| 1528179306 | Richard P Orsini | Clinic/Center | 104 Amaron Ln, Staten Island, NY 10307-1963 | 2006-08-31 |
| 1255442034 | Larry Codner | Clinic/Center | 116 Hampton Grn, Staten Island, NY 10312-1739 | 2006-08-31 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
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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.