Amal Altayeb Ebraheem Balola, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40359 Issued in FL

Practice address

4050 W Broward Blvd FL 33317
Plantation, FL 33317-3767

Phone

(888) 409-8006

NPI assigned

Jan 8, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1245000546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 NW 92ND TER",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651700",
            "telephone_number": "954-470-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W BROWARD BLVD FL 33317",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173767",
            "telephone_number": "888-409-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOLA",
        "first_name": "AMAL",
        "middle_name": "ALTAYEB EBRAHEEM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kierra Baker
• Ryan Baker
• Zinab Bakroun, MD
• Balance Therapy Institute and Consulting
• Stacey Elise Balkanski, LCSW
• Nirvana Balroop, M.S, SLP
• Nicholas Garrett Balzen, CRNA
• Banu Medical Practice PA
• Fulvia Carmen Banu, M.D.
• Andrew Banuelos, MD

• Physical Therapist in Plantation, FL
• Providers in Plantation, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.