Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Marievic Balaag Ebora Fernando, PT, DPT

Individual provider Physical Therapist · NPI 1629236278

MS. Marievic Balaag Ebora Fernando, PT, DPT is a Physical Therapist in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6815 Selfridge St 2H
Forest Hills, NY 11375-5747
Phone: (347) 777-9707
Fax: (347) 777-9707
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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 030067 (NY)

Record details

NPI number1629236278
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 30, 2008
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

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