MR. BALLAH BURCH MSPT
NPI 1962613083
Physical Therapist in Canandaigua, NY
About Mr. Ballah Burch Mspt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BALLAH BURCH MSPT (NPI 1962613083) is an individual physical therapist in Canandaigua, New York, licensed in New York (028853) and active in the NPI registry since May 2007.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Ballah Burch Mspt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ballah Burch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Charles, LA 70601
- Reassigned Medicare billing, Texas enrollment
- 145 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ballah Burch's NPI number?
The NPI number for Ballah Burch is 1962613083. It was assigned to this individual provider in the NPPES registry on May 24, 2007.
Where is Ballah Burch located?
Ballah Burch practices at 190 Parrish St Apt 76, Canandaigua, NY 14424. The listed phone number is (716) 830-8785.
What is Ballah Burch's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Ballah Burch enrolled in Medicare?
Yes. Ballah Burch is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ballah Burch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ballah Burch reassigns Medicare benefits to Synergy Care Southeast, LLC (Lake Charles, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ballah Burch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ballah Burch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.