BALANCE & NEUROLOGICAL REHABILITATION (NPI# 1962592741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962592741 |
Entity Type | Organization |
Organization Name | BALANCE & NEUROLOGICAL REHABILITATION |
Practice Address |
12000 W 110th St Suite 400 Overland Park KS 66210-3938 |
Practice Telephone | 8166797056 |
Practice Fax Number | 8169317392 |
Mailing Telephone | 8166797056 |
Mailing Fax Number | 8169317392 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DEBORAH COOKE (OWNER) |
Authorized Official Telephone | 8166797056 |
Authorized Official Credential | PT PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2251N0400X |
Physical Therapist Specialization: Neurology |
0556 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
11-02878 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | BC/BS | 399054 | 01 |
MO | BC/BS | 32911028 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760570717 | Balance & Neurological Rehabilitation | Physical Therapist | 3100 Broadway St, Suite 507, Kansas City, MO 64111-2658 | 2006-10-11 |
Street Address |
12000 W 110TH ST SUITE 400 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66210-3938 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992798268 | Bernadette C Wheeler | Occupational Therapist | 12000 W 110th St, Suite 400, Overland Park, KS 66210-3938 | 2005-08-23 |
1285188607 | Amy Hoffmann | Nurse Practitioner | 12000 W 110th St, Overland Park, KS 66210-3910 | 2016-08-15 |
1154519544 | Candace S Sedlacek | Occupational Therapist | 12000 W 110th St, Suite 400, Overland Park, KS 66210-3938 | 2007-10-10 |
1720095995 | Lisa Jo Boudrieau | Physical Therapist | 12000 W 110th St, Suite 400, Overland Park, KS 66210-3938 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
Find all providers in zip 66210 |
Taxonomy Code | 2251N0400X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Neurology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669807426 | Darcie L James | Physical Therapist | 8550 Marshall Dr Ste 100, Lenexa, KS 66214-9836 | 2013-09-11 |
1972882280 | Jason Lee Rucker | Physical Therapist | 3901 Rainbow Blvd, Mail Stop 2002, Kansas City, KS 66103-2937 | 2011-08-04 |
1326271644 | Marissa Everly Clark | Physical Therapist | 3115 W 6th St Ste B, Lawrence, KS 66049-3150 | 2009-09-02 |
1457589731 | Kelli L Hagen | Physical Therapist | 8550 Marshall Dr, Ste 100, Lenexa, KS 66214-1505 | 2009-06-25 |
1558558411 | Diana Christine Torline | Physical Therapist | 600 Medical Center Drive, Newton, KS 67114-0308 | 2007-09-25 |
1063604189 | Amy L Nichols | Physical Therapist | 8550 Marshall Dr, Suite 100, Lenexa, KS 66214-1505 | 2007-08-13 |
City | OVERLAND PARK |
Zip Code | 66210 |
Please comment or provide details below to improve the information on BALANCE & NEUROLOGICAL REHABILITATION.
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.