Gerardo Temporal Balid Jr., P.T
Physical Therapist in Glen Oaks, NY. Individual provider (NPI-1).
NPI number1003138975
StatusActive
Last updated in NPPESFeb 19, 2010
Details
- NPI
- 1003138975
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gerardo Temporal Balid Jr.
- Credential
- P.T
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2010
- Last updated
- Feb 19, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 024448 | NY | Yes |
Practice location
8115 255th StGlen Oaks, NY 11004-1414
Phone 718-343-3112 · Fax 718-343-3112
Mailing address
8115 255th StGlen Oaks, NY 11004-1414
Phone 718-343-3112 · Fax 718-343-3112
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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