Healthcare Provider Details
I. General information
NPI: 1770115669
Provider Name (Legal Business Name): BALANCE PHYSICAL THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/07/2020
Last Update Date: 09/11/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5300 MERCHANTS VIEW SQ STE 110
HAYMARKET VA
20169-3335
US
IV. Provider business mailing address
12260 RJ WAY
NOKESVILLE VA
20181-2354
US
V. Phone/Fax
- Phone: 571-248-0232
- Fax: 571-619-6385
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRITTANY
ELKINS
Title or Position: MANAGING MEMBER-OWNER
Credential: DPT
Phone: 703-399-0525