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

Balanced PT PLLC

Organization Pediatric Physical Therapist · NPI 1417297144

Balanced PT PLLC is a Pediatric Physical Therapist in Rego Park, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6511 Booth St Ste CC
Rego Park, NY 11374-4182
Phone: (347) 781-4805
Fax: (718) 285-0656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 031230 (NY)

Record details

NPI number1417297144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Tamir — Physical Therapist · (347) 781-4805
NPI enumeratedFebruary 16, 2013
Last updated in NPPESFebruary 16, 2013
Mailing address6511 Booth St Ste Cc, Rego Park, NY 11374-4182

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