Individual provider · Type 1 NPI

Andi Bala, PT, DPT

Physical Therapist · Ridgewood, NY

NPI number 1104770890 Active

Practice location

5505 Myrtle Ave
Ridgewood, NY 11385-3550

Mailing address

102 Madison Ave Fl 8
New York, NY 10016-7584

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XNone listed

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1104770890

Andi Bala, PT, DPT's National Provider Identifier is 1104770890, issued on Feb 21, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Ridgewood, NY. The record was last updated on Feb 21, 2026.