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

Balboa PT

Organization Physical Therapist · NPI 1811276876

Balboa PT is a Physical Therapist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

945 Huguenot Ave
Staten Island, NY 10312-4312
Phone: (718) 816-6500
Fax: (718) 816-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0205341 (NY)

Record details

NPI number1811276876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Lamendola — Physical Therapist · (718) 816-6500
NPI enumeratedAugust 9, 2011
Last updated in NPPESDecember 10, 2014
Mailing address945 Huguenot Ave, Staten Island, NY 10312-4312

Other providers in Staten Island