1104570423 NPI number — BALANCED CREATIONS PHYSICAL THERAPY, PLLC

Table of content: (NPI 1104570423)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104570423 NPI number — BALANCED CREATIONS PHYSICAL THERAPY, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BALANCED CREATIONS PHYSICAL THERAPY, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104570423
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2222 BURGUNDY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARROLLTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75006-4324
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-500-0126
Provider Business Mailing Address Fax Number:
972-440-2059

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 MIKUS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUDSON OAKS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76087-7989
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-500-0126
Provider Business Practice Location Address Fax Number:
817-290-3876
Provider Enumeration Date:
02/06/2022

Additional Information

Authorized Official

Authorized Official Last Name:
WEATHERS
Authorized Official First Name:
SIGOURNEY
Authorized Official Middle Name:
DOWNS
Authorized Official Title or Position:
MANAGING MEMBER
Authorized Official Telephone Number:
214-500-0126

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2251P0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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