OrganizationActive
Balanced PT PLLC
NPI 1417297144 · Pediatric Physical Therapist · Rego Park, NY
Provider details
- NPI number
- 1417297144
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Eric Tamir, Physical Therapist(347) 781-4805
- License
- 031230 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6511 Booth St Ste Cc
Rego Park, NY 11374-4182
Phone: (347) 781-4805
Fax: (718) 285-0656
Street-level locationGet directions
Mailing address
6511 Booth St Ste Cc
Rego Park, NY 11374-4182
Registry dates
- Enumerated
- 2013-02-16
- Last updated
- 2013-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.