Active NPI
Justin Bal, DPT
- Physical Therapist
- Antigo, WI
National Provider Identifier
1003761198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17590-24
- Practice address
- 112 E 5TH Ave
Antigo, WI 54409-2710 - Phone
- (715) 623-2331
- NPI assigned
- Mar 3, 2026
- Last updated
- Mar 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501303858 | MI | |
| Physical Therapist | 225100000X | 17590-24 | WI | Primary |
Addresses
Primary practice location
112 E 5TH Ave
Antigo, WI 54409-2710
Mailing address
W5950 Springview Dr
Norway, MI 49870-2282
Phone (906) 282-5437
Other practice location 1
2030 Black River St Ste 4
Deckerville, MI 48427-9440
Phone (810) 376-3400
Other practice location 2
800 W Lawrence Ave
Charlotte, MI 48813-1308
Phone (517) 541-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501303858 | MI | MD | Physical Therapist |
| 17590-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1003761198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W5950 SPRINGVIEW DR",
"city": "NORWAY",
"state": "MI",
"postal_code": "498702282",
"telephone_number": "906-282-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E 5TH AVE",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544092710",
"telephone_number": "715-623-2331"
}
],
"practiceLocations": [
{
"address_1": "2030 Black River St Ste 4",
"address_purpose": "LOCATION",
"city": "Deckerville",
"state": "MI",
"postal_code": "484279440",
"country_code": "US",
"telephone_number": "810-376-3400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 W Lawrence Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "MI",
"postal_code": "488131308",
"country_code": "US",
"telephone_number": "517-541-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAL",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501303858",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "17590-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antigo, WI
- Antigo Vision Clinic SC
- Douglas Paul Armato, MD
- Wendee M. Arrowood, RDHP
- Aspirus Doctors Clinic (Aspirus Doctors Clinic Cardiology Clinic Antigo)
- Aspirus Medical Group, Inc. (Aspirus General Clinic)
- Jean Lee Baribeau-Anaya, PA-C
- Hannah Basler
- Jennifer Lynn Behm, LPN
- Alaina Below, FNP-BC
- Kathleen M Bender, R.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.