| Balanced Physical Therapy, Llc | |
| 
					200 Macomb Daily Dr, Mount Clemens, MI 48043-5800  | |
| (248) 752-5286 | |
| Not Available | 
| Full Name | Balanced Physical Therapy, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 200 Macomb Daily Dr, Mount Clemens, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659915056 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary | 
| Provider Name | Vittoria Gasperoni | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1194224022 PECOS PAC ID: 4082974829 Enrollment ID: I20180215002830  | 
| Provider Name | Robert Litzenburg | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1396203816 PECOS PAC ID: 3870833528 Enrollment ID: I20190318000281  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Balanced Physical Therapy, Llc 31500 Northwestern Hwy Ste 135, Farmington Hills, MI 48334-2518 Ph: () -  | Balanced Physical Therapy, Llc 200 Macomb Daily Dr, Mount Clemens, MI 48043-5800 Ph: (248) 752-5286  | 
Surekha Samel,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000  | |
Michelle Lewinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000  | |
Shabbir Hussain,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 198 S Main St Ste 1, Mount Clemens, MI 48043 Phone: 586-477-1402  | |
Elizabath Shabu,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 243 Cass Ave Ste A, Mount Clemens, MI 48043 Phone: 586-783-7590  | |
Gary Lutes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000  | |
Mr. Jose Luis C. Escudero, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-2044  | |
Heather Piper, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000  |