Provider Demographics
NPI:1396623633
Name:BALL PHYSICAL THERAPY & PERFORMANCE LLC
Entity type:Organization
Organization Name:BALL PHYSICAL THERAPY & PERFORMANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:260-223-2097
Mailing Address - Street 1:149 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IN
Mailing Address - Zip Code:46733-1608
Mailing Address - Country:US
Mailing Address - Phone:260-223-2097
Mailing Address - Fax:
Practice Address - Street 1:149 N 2ND ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IN
Practice Address - Zip Code:46733-1608
Practice Address - Country:US
Practice Address - Phone:260-223-2097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy