Provider Demographics
NPI:1780207100
Name:BEYOND BALANCE & REHABILITATION LLC
Entity Type:Organization
Organization Name:BEYOND BALANCE & REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:TRIBOLETTI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:609-204-4621
Mailing Address - Street 1:777 S WHITE HORSE PIKE STE D3
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-2029
Mailing Address - Country:US
Mailing Address - Phone:609-481-2760
Mailing Address - Fax:609-481-2817
Practice Address - Street 1:777 S WHITE HORSE PIKE STE D3
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2029
Practice Address - Country:US
Practice Address - Phone:609-828-2602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy