Healthcare Provider Details

I. General information

NPI: 1205486909
Provider Name (Legal Business Name): BALANCE THERAPY PT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9433 5TH AVE
BROOKLYN NY
11209
US

IV. Provider business mailing address

9433 5TH AVE
BROOKLYN NY
11209
US

V. Phone/Fax

Practice location:
  • Phone: 833-444-4399
  • Fax: 347-772-3424
Mailing address:
  • Phone: 833-444-4399
  • Fax: 347-772-3424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. AHMED ABDELAAL ABDELAAL
Title or Position: OWNER
Credential: DPT
Phone: 833-444-4399