MEDICARE: DJB BODY BALANCE PHYSICAL THERAPY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1295686350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DJB BODY BALANCE PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	167 S PLAISTED AVE
Second Line	:
City	:	HAUPPAUGE
State	:	NY
Zip	:	11788-2753
Country	:	US
Telephone Number	:	631-335-8419
Fax Number	:

Provider Business Practice Location Address
First Line	:	2799 NY-112 #5
Second Line	:
City	:	MEDFORD
State	:	NY
Zip	:	11763
Country	:	US
Telephone Number	:	631-335-8419
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEREK BERSHAD
Credential	:	DPT
Telephone Number	:	631-335-8419

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

Similar Medicare Providers

1659222891 — JASON BECK LMSW
Practice Location Address:

31 INDUSTRIAL BLVD
MEDFORD, NY
11763-2220

Practice Phone: 631-924-4411
Practice Fax:

1992707491 — STEVEN I GOODMAN OD PC
Practice Location Address:

1643 ROUTE 112 STE A
MEDFORD, NY
11763-3654

Practice Phone: 631-758-5575
Practice Fax: 631-758-5579

1861486284 — DR. ALAN RICHARD STERN DPM
Practice Location Address:

76 SOUTHAVEN AVE
MEDFORD, NY
11763-3745

Practice Phone: 631-289-1107
Practice Fax: 631-289-1107

1679563464 — NURSING CARE CENTER AT MEDFORD INC
Practice Location Address:

3115 HORSEBLOCK RD
MEDFORD, NY
11763

Practice Phone: 631-730-3016
Practice Fax: 631-730-3131

1811971203 — EYEGLASS SERVICE INDUSTRIES
Practice Location Address:

700 ROUTE 101 , 20
MEDFORD, NY
11763-2206

Practice Phone: 631-924-5188
Practice Fax: 631-205-1034

1720058522 — DR. MICHAEL F WOOSTER DPM
Practice Location Address:

700-6 PATCHOGUE YAPHANK RD
MEDFORD, NY
11763

Practice Phone: 631-345-5280
Practice Fax: 631-775-1429

Directions to “DJB BODY BALANCE PHYSICAL THERAPY PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.