Matthew Bala

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039185 Issued in NY

Practice address

6363 Transit Rd
East Amherst, NY 14051-2716

Phone

(716) 688-5709

Fax

(716) 688-5770

NPI assigned

Aug 10, 2015

Sex

Male

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • West Seneca, NY
  • NPI 1528109188
  NPD

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1285010553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 TRANSIT RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512716",
            "telephone_number": "716-688-5709",
            "fax_number": "716-688-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALA",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Marie Ayoub, LMHC
• Gissou Azabdaftari, MD
• Roger F Badgley, RPA-C
• Shannon Baehr, LCSW
• Bahman Inc
• Therese Marie Ball, ANP
• Barbara a. Roba, Licensed Mental Health Counselor PLLC
• Kim Barbolini, OTR/L
• Jill E Barden
• Linda M.J. Barnett, A.P.R.N.,B.C.,N.P.P.

• Physical Therapist in East Amherst, NY
• Providers in East Amherst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.