Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark E Balch

Individual provider Physical Therapist · NPI 1124080072

Mark E Balch is a Physical Therapist in Private Practice in Queen Creek, Arizona. Qualified in 2001, 25 years ago. Practices with 360 Physical Therapy LLC, a 85-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
25
Licensed in
AZ
In the registry since
2006
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

20715 E Ocotillo Rd Ste 103
Queen Creek, AZ 85242-6118
Phone: (480) 888-1558
Fax: (480) 888-1533

No coordinates on file. Search this address in Google Maps

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5708 (AZ)

Record details

NPI number1124080072
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESJuly 13, 2026
Mailing address20715 E Ocotillo Rd, Suite 103, Queen Creek, AZ 85242-6118

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice 360 Physical Therapy Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Queen Creek