NPI Code Details Logo

NPI 1528675113

NPI 1528675113 : ANDREW BALAZS PT : METAIRIE, LA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1528675113
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANDREW BALAZS PT
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/28/2020
-----------------------------------------------------
    Last Update Date     |    12/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2312 DAVID DR STE C 
-----------------------------------------------------
    City                 |    METAIRIE
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70003-4504
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    504-435-1158
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1200 CORPORATE DR STE 400 
-----------------------------------------------------
    City                 |    HOOVER
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35242-5424
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-702-4389
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    CP027807T
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    10735
-----------------------------------------------------
    License Number State |    LA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    CP022580T
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.