Andi Bala, PT, DPT
Physical Therapist in Ridgewood, NY. Individual provider (NPI-1).
NPI number1104770890
StatusActive
Last updated in NPPESFeb 21, 2026
Details
- NPI
- 1104770890
- Entity type
- Individual (NPI-1)
- Name
- Andi Bala
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2026
- Certification date
- Feb 20, 2026
- Last updated
- Feb 21, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- 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 | – | – | Yes |
Practice location
5505 Myrtle AveRidgewood, NY 11385-3550
Phone 347-408-2387
Mailing address
102 Madison Ave Fl 8New York, NY 10016-7584
Phone 212-759-2282 · Fax 212-379-2123
Is something wrong?
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.
Other Physical Therapist providers in Ridgewood, NY
- Accu-Care Physical Therapy Works, P.C.NPI 1982650438
- Ag Pt Wellness PLLCNPI 1598459182
- Donny Alonzo, PTNPI 1396010930
- Efstartios Antoniadis, PTNPI 1871507707
- Marie Frances Antoniadis, PTNPI 1417961004
- Chirag AsharNPI 1205104676
- Anna Kubicz Borowik, MSPTNPI 1790745156
- Bright Force Physical Therapy P.C.NPI 1558758540
- Sonora Joy Brioso, DPTNPI 1982295465
- Lucas Vincent BroncatoNPI 1932083748
All 60 Physical Therapist providers in Ridgewood · All 847 providers in Ridgewood
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.