Balance Physical Therapy INC, P.S.
Physical Therapist in Issaquah, WA. Organization (NPI-2).
NPI number1710197090
StatusActive
Last updated in NPPESOct 17, 2007
Details
- NPI
- 1710197090
- Entity type
- Organization (NPI-2)
- Legal business name
- Balance Physical Therapy INC, P.S.
- Organization subpart
- No
- Enumeration date
- May 23, 2007
- Last updated
- Oct 17, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- 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 |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT00006853 | WA | Yes |
Practice location
730 Nw Gilman BlvdSuite C108
Issaquah, WA 98027-5326
Phone 425-391-6794 · Fax 425-391-1525
Mailing address
730 Nw Gilman BlvdSuite C108
Issaquah, WA 98027-5326
Phone 425-391-6794 · Fax 425-391-1525
Authorized official
Karen E. Shrader Dasilva
Ceo
4253916794
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