MEDICARE: BALANCE POINT VESTIBULAR REHABILITATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	NOT REQUIRED IN COLO	CO

General Provider Information

NPI Number	:	1720029598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCE POINT VESTIBULAR REHABILITATION LLC

Provider Business Mailing Address
First Line	:	7606 N UNION BLVD
Second Line	:	SUITE F
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3850
Country	:	US
Telephone Number	:	719-667-0666
Fax Number	:	719-594-5658

Provider Business Practice Location Address
First Line	:	7606 N UNION BLVD STE 140
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3873
Country	:	US
Telephone Number	:	719-667-0666
Fax Number	:	719-594-5658

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. DIANE PERCY
Credential	:	PT
Telephone Number	:	719-667-0666

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	04/14/2022

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