Individual provider · Type 1 NPI

Jillian Balog, PTA

Physical Therapy Assistant · New York, NY

NPI number 1831928894 Active

Practice location

26 E 22nd St
New York, NY 10010-6107

Mailing address

1216 Candlewood Ln
Sea Girt, NJ 08750-1717

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XPTA.6711 (SC)
Physical Therapy Assistant 225200000X013237 (NY)
Physical Therapy Assistant Primary 225200000X40QB00388400 (NJ)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1831928894

Jillian Balog, PTA's National Provider Identifier is 1831928894, issued on Jul 29, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in New York, NY. The record was last updated on Jul 29, 2024.