DJB Body Balance Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DJB BODY BALANCE PHYSICAL THERAPY PC

Practice address

2799 Ny-112 #5
Medford, NY 11763

Phone

(631) 335-8419

NPI assigned

Feb 5, 2026

Organization subpart

No

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

Authorized official

Name

Derek Bershad, DPT

Title

Owner

Phone

(631) 335-8419

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1295686350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 S PLAISTED AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882753",
            "telephone_number": "631-335-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 NY-112 #5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "11763",
            "telephone_number": "631-335-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJB BODY BALANCE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "BERSHAD",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-335-8419",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Diblasi, PHD
• Victoria Dickerson
• Denise Marga Dickhut, LPN
• Kerri Elizabeth Dillon
• Lauren Rose Disanti, LPN
• Victor Dodd, MSW, LCSW-R
• Patricia M Dolan, M.S. EDUCATION
• Dorsain'S Family Care
• Jeri-Sue Douglas
• Nancy Jean Dowdy-Adams, M.A.

• Physical Therapist in Medford, NY
• Providers in Medford, 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 Feb 5, 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.

Verify at the official NPI Registry.