Healthcare Provider Details

I. General information

NPI: 1245182773
Provider Name (Legal Business Name): BALANCED PHYSICAL THERAPY AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6745 ACADEMY RD NE STE C
ALBUQUERQUE NM
87109-3373
US

IV. Provider business mailing address

7849 TRAMWAY BLVD NE STE A
ALBUQUERQUE NM
87122-2529
US

V. Phone/Fax

Practice location:
  • Phone: 505-933-7865
  • Fax: 505-295-4179
Mailing address:
  • Phone: 505-895-9381
  • Fax: 505-212-0786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JAMEL ESCH
Title or Position: OWNER
Credential: PT
Phone: 505-485-7468