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

Miss. Justine Balog, MOT, OTR/L

Individual provider Occupational Therapist · NPI 1477994630

Miss. Justine Balog, MOT, OTR/L is an Occupational Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

25 E 104th St
New York, NY 10029-4402
Phone: (212) 289-4872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 018048-1 (NY)

Record details

NPI number1477994630
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTR/L
Sole proprietorYes
NPI enumeratedJuly 16, 2013
Last updated in NPPESJuly 18, 2013

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