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MICHAEL RAY BALLANCE PT
NPI 1205400983
Physical Therapist - Pediatrics in Lodi, CA

Active since May 17, 2021
825 W LOCKEFORD ST, LODI, CA 95240(209) 331-7471(209) 331-7464 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Ray Ballance Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL RAY BALLANCE PT (NPI 1205400983) is an individual pediatrics provider in Lodi, California, licensed in California (PT18492) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1205400983
Entity TypeIndividualMale
Primary Taxonomy2251P0200X
Provider Legal NameMICHAEL RAY BALLANCECredential: PT
Location Address825 W LOCKEFORD STLodi, CA 95240-1633
Mailing Address12270 Kirkwood StHerald, CA 95638-9765 · (209) 663-8013
Phone(209) 331-7471
Fax(209) 331-7464
Sole ProprietorNo
Enumeration DateMay 17, 2021
NPPES CertifiedMay 17, 2021
✔ NPI 1205400983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in CA · PT18492
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
825 W LOCKEFORD ST, Lodi, CA 95240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN JOAQUIN COUNTY CCS
Physical Therapist (Pediatrics)
825 W LOCKEFORD ST
LODI, CA 95240
San Joaquin County (209) 331-7471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Ballance's NPI number?

The NPI number for Michael Ballance is 1205400983. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Michael Ballance located?

Michael Ballance practices at 825 W Lockeford St, Lodi, CA 95240. The listed phone number is (209) 331-7471.

What is Michael Ballance's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

What insurance does Michael Ballance accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael Ballance as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Ballance was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.