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

Individual provider Physical Therapist · NPI 1508633082

Balsam Itani, DPT is a Physical Therapist in Private Practice in Tunkhannock, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Pivot Physical Therapy of Pennsylvania LLC, a 122-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in District of Columbia, Pennsylvania and South Carolina.

Years since qualifying
3
Licensed in
DC, PA, SC
In the registry since
2023
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

25 W St
Tunkhannock, PA 18657-1405
Phone: (570) 996-6200
Fax: (570) 996-6201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4001 Brandywine St Nw Ste 301, Washington, DC 20016-1876 — (302) 764-2008
  • 1403 E Greenville St Ste B, Anderson, SC 29621-2285 — (864) 225-7552

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT032225 (PA)
Physical Therapist Taxonomy 225100000X · Licence 11939 (SC)
Physical Therapist Taxonomy 225100000X (DC)

Record details

NPI number1508633082
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 5, 2023
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pivot Physical Therapy Of Pennsylvania Llc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tunkhannock