BALANCE OT, INC (NPI# 1770756090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770756090 |
| Entity Type | Organization |
| Organization Name | BALANCE OT, INC |
| Practice Address |
2821 Nw Market St Ste E Seattle WA 98107-5815 |
| Mailing Address |
3323 Nw 71st St Seattle WA 98117-6146 |
| Practice Telephone | 2065081265 |
| Practice Fax Number | 2065081265 |
| Mailing Telephone | 2065081265 |
| Mailing Fax Number | 2065081265 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2009-07-13 |
| Authorized Official Name | KELLY A CLANCY (OWNER) |
| Authorized Official Telephone | 2065081265 |
| Authorized Official Credential | OTR/L, CHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
OT00001887 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE | 4020-CL | 01 |
| WA | LABOR AND INDUSTRIES-WA | 0207147 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BALANCE OT, INC. | 5516 17th Ave. Nw, Seattle, WA 98107-5205 |
| Street Address |
2821 NW MARKET ST STE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98107-5815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275665234 | Kelly Ann Clancy | Occupational Therapist | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2007-03-12 |
| 1982120390 | Integrated Rehabilitation Group, PC | Clinic/Center | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2017-08-17 |
| 1316477516 | Gina Marie Peterson | Physical Therapist | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2017-06-20 |
| 1164877411 | Rachel Elizabeth Byrne | Occupational Therapist | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2016-04-24 |
| 1053741306 | Rebecca Jean Moorman | Massage Therapist | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2013-11-23 |
| 1962831487 | Jean Stephens Lehman | Specialist | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2013-11-05 |
| 1417246919 | Tiffany Kuespert | Massage Therapist | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2011-04-05 |
| 1932322997 | Elizabeth Durkin | Acupuncturist | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1619519493 | Charles Aljon Corpuz Agabin | Pharmacist | 1448 Nw Market Street, Suite 100, Seattle, WA 98107 | 2019-10-12 |
| 1427610682 | Dalillah Bernal Nord | Advanced Practice Midwife | 5300 Tallman Ave Nw Ste 420, Seattle, WA 98107 | 2019-07-08 |
| 1740849660 | Harmonic Healing LLC | Acupuncturist | 1551 Nw 54th Street Suite 204, Seattle, WA 98107 | 2019-06-13 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1801363502 | Bianca Marie Maggio | Physical Therapist | 5300 Tallman Ave, Outpatient Rehab Services 1-south, Seattle, WA 98107 | 2018-10-31 |
| 1831690726 | Sara Blackmur | Social Worker | 1417 Nw 54th St Ste 324, Seattle, WA 98107 | 2018-02-26 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1184148413 | John Julian Heal | Occupational Therapy Assistant | 5440 Leary Ave Nw, Unit 321, Seattle, WA 98107 | 2017-07-28 |
| 1710416169 | Heather Tracey Marie Osias | Social Worker | 2251 Nw 60th Street Apt B, Seattle, WA 98107 | 2017-06-08 |
| Find all providers in zip 98107 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563299 | Team Vocational Services | Clinic/Center | 5608 17th Ave Nw Ste 596, Seattle, WA 98107-5232 | 2020-06-17 |
| 1043769441 | Corrie L Adams | Clinic/Center | 1831 8th Ave Apt 602, Seattle, WA 98101-4411 | 2016-09-26 |
| 1912949223 | Physiotherapy Associates Inc | Clinic/Center | 7900 E Green Lake Dr N, Suite 204, Seattle, WA 98103-4819 | 2006-06-12 |
| 1952350688 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 12500 Aurora Ave N, Ste C, Seattle, WA 98133-1518 | 2006-05-09 |
| 1821461989 | Claudia Hickey | Clinic/Center | 603 N 65th St, Seattle, WA 98103-5303 | 2015-11-10 |
| 1871975110 | The Athlete Experience | Clinic/Center | 2818 E Madison St, Seattle, WA 98112-4841 | 2015-06-23 |
| 1710384953 | Go Pt | Clinic/Center | 201 Yale Ave N, Seattle, WA 98109 | 2014-12-03 |
| 1538591359 | 12th Ave. Massage & Wellness | Clinic/Center | 6121 12th Ave Ne Unit C, Seattle, WA 98115-6703 | 2013-08-02 |
| 1871857946 | Provail | Clinic/Center | 12550 Aurora Ave N, Seattle, WA 98133-8036 | 2012-07-03 |
| 1386830974 | Armonia Bodyworks | Clinic/Center | 6850 35th Ave Ne Ste 11, Seattle, WA 98115-7344 | 2007-09-18 |
| Find all providers in SEATTLE | ||||
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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.