Total Balance Physical Therapy and Fitness, LLC
NPI 1588175061ActiveOrganization· Physical Therapist· Fargo, ND
Physical Therapist in Fargo, North Dakota, registered in NPPES in October 2017. The authorized official on file is Daniel William Johnson, PT, DPT, Owner, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1588175061 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2017 |
| Last updated in NPPES | Jun 22, 2026 |
| Certified by provider | Jun 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1970 | ND |
| Dietitian, Registered | 133V00000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MN); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (ND) |
|---|
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