Mind Body Balance Physical Therapy PLLC
NPI 1629819644ActiveOrganization· Physical Therapist· Benbrook, TX
Physical Therapist in Benbrook, Texas, registered in NPPES in June 2024. The authorized official on file is Samantha Johnson, PT, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1629819644 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2024 |
| Last updated in NPPES | Sep 18, 2025 |
| Certified by provider | Sep 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 (TX) |
|---|
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