BACK TO BALANCE REHABILITATION AND FITNESS INC. (NPI# 1629340005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629340005 |
| Entity Type | Organization |
| Organization Name | BACK TO BALANCE REHABILITATION AND FITNESS INC. |
| Practice Address |
307 S Robertson Blvd Beverly Hills CA 90211-3602 |
| Mailing Address |
388 E Ocean Blvd #305 Long Beach CA 90802-5252 |
| Practice Telephone | 3106528404 |
| Practice Fax Number | 3106527470 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | MR. RICHARD SHEN (PRESIDENT) |
| Authorized Official Telephone | 3108007436 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT32477 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1477515559 | 01 |
| Street Address |
307 S ROBERTSON BLVD |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831908 | Koa Capital Ltd, Inc. | Clinic/Center | 9665 Wilshire Blvd Ste 450, Beverly Hills, CA 90212-2446 | 2019-09-27 |
| 1659565315 | Roxbury Rehab Incorporated | Clinic/Center | 9701 Santa Monica Blvd, Beverly Hills, CA 90210-4201 | 2007-09-05 |
| 1174654057 | Rpt Physical Therapy, Inc | Clinic/Center | 9703 S Santa Monica Blvd, Beverly Hills, CA 90210 | 2007-03-09 |
| 1972931608 | Bodies In Balance LLC | Clinic/Center | 8730 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-2716 | 2013-10-15 |
| 1598101065 | La Main Physical Therapy Inc | Clinic/Center | 260 S Beverly Dr, Suite 210, Beverly Hills, CA 90212-3833 | 2013-05-10 |
| 1669774014 | Body Reform Physical Therapies, Inc. | Clinic/Center | 9665 Wilshire Blvd, #222, Beverly Hills, CA 90212-2340 | 2010-11-17 |
| 1821318619 | Healthstart Inc. | Clinic/Center | 8920 Wilshire Blvd, Suite 335, Beverly Hills, CA 90211-2007 | 2010-06-03 |
| 1568698751 | Neha Physical Therapy and Yoga | Clinic/Center | 8420 Wilshire Blvd, Beverly Hills, CA 90211-3201 | 2009-06-02 |
| 1063626281 | John Koegel, Pt Inc. | Clinic/Center | 8920 Wilshire Blvd., Suite 335, Beverly Hills, CA 90211 | 2007-05-09 |
| 1417175415 | Body Reform Physical Therapies Inc. | Clinic/Center | 414 N Camden Dr, 1050, Beverly Hills, CA 90210-4532 | 2007-04-23 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
Please comment or provide details below to improve the information on BACK TO BALANCE REHABILITATION AND FITNESS INC..
| 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.