Balance And Concussion Therapy Center, LLC
Physical Therapist, Neurology in Hackensack, NJ. Organization (NPI-2).
NPI number1609595057
StatusActive
Last updated in NPPESJul 10, 2026
Details
- NPI
- 1609595057
- Entity type
- Organization (NPI-2)
- Legal business name
- Balance And Concussion Therapy Center, LLC
- Organization subpart
- No
- Enumeration date
- Aug 26, 2022
- Certification date
- Jul 10, 2026
- Last updated
- Jul 10, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRI
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251N0400X | Physical Therapist, Neurology | – | – | Yes |
Practice location
2 University Plaza DriveSuite 100
Hackensack, NJ 07601
Phone 551-888-2282
Mailing address
440 Sagamore AveTeaneck, NJ 07666-2626
Phone 551-888-2282
Authorized official
Danit Macklin
Owner/Director
5518882282
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