# BALANCE WELL THERAPIES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BALANCED WELL MEDICAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548615040
- **Legal business name:** BALANCED WELL MEDICAL
- **Authorized official:** DR. ROTH LEON RILEY MD (DIRECTOR)
- **Authorized official phone:** (201) 794-4500

## Contact information

- **Practice address:** 26-01 PELLACK DR, FAIR LAWN, NJ 07410-3723
- **Practice address phone:** (201) 794-4500
- **Practice address fax:** (201) 794-4502
- **Mailing address:** 26-01 PELLACK DR, FAIR LAWN, NJ 07410-3723
- **Mailing address phone:** (201) 794-4500
- **Mailing address fax:** (201) 794-4502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 25MA09551100 | NJ | Yes |
| 225X00000X | Occupational Therapist | 46TR00608400 | NJ | — |

## Other

- **Enumeration date:** 05/03/2016
- **Last updated:** 07/21/2022