Back and Balance Rehabilitation Center
NPI 1649410507ActiveOrganization· Physical Therapist· Boston, MA
Physical Therapist in Boston, Massachusetts, registered in NPPES in March 2009. The authorized official on file is Vyacheslav Denishenko, Resident Agent.
Overview
| NPI | 1649410507 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2009 |
| Last updated in NPPES | Mar 4, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11124 | MA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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