Individual provider

Heidi Balow, PT

Physical Therapy Clinic/Center Medicare enrolled

Heidi Balow, PT is a provider specialising in Physical Therapy Clinic/Center in San Marcos, CA, registered under NPI 1205640182. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1582 W SAN MARCOS BLVD STE 105B, San Marcos, CA 92078. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1582 W SAN MARCOS BLVD STE 105B, San Marcos, CA 92078 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
40417 CA Physical Therapy Clinic/Center primary

This provider holds licence 40417 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physical Therapist In Private Practice
PAC ID
3678093473

Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Therapist In Private Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Physical Therapy covers

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. NUCC Health Care Provider Taxonomy, code 261QP2000X
Ambulatory Health Care Facilities Clinic/Center Physical Therapy

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205640182 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 3, 2025
Last updatedFeb 13, 2025
StatusActive
Sole proprietorYes
CredentialPT
Practice address 1582 W SAN MARCOS BLVD STE 105B
San Marcos, CA 92078
(650) 452-4110
Mailing address 2666 ANGELL AVE
San Diego, CA 92122
This record was updated on Feb 13, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1205640182 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 6 4 0 1 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 3 4 0 1 7

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205640182?
NPI 1205640182 is the National Provider Identifier assigned to Heidi Balow, PT in San Marcos, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physical Therapy cover?
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal…
How do I contact Heidi Balow, PT?
The phone number on file with NPPES is (650) 452-4110, last updated Feb 13, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Heidi Balow, PT accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205640182 a valid number?
Yes. 1205640182 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.