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

Jillian Balog, PTA

Individual provider Physical Therapy Assistant · NPI 1831928894

Jillian Balog, PTA is a Physical Therapy Assistant in New York, New York. Licensed in New Jersey, New York and South Carolina. Registered with an NPI since 2024.

Licensed in
NJ, NY, SC
In the registry since
2024
Specialties on file
3
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

26 E 22nd St
New York, NY 10010-6107
Phone: (646) 847-1684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00388400 (NJ)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA.6711 (SC)
Physical Therapy Assistant Taxonomy 225200000X · Licence 013237 (NY)

Record details

NPI number1831928894
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

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