Balsam Itani, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032225 Issued in PA

Practice address

25 West St
Tunkhannock, PA 18657-1405

Phone

(570) 996-6200

Fax

(570) 996-6201

NPI assigned

Dec 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, WV, TN, DC, WI5 enrollments

Enrollment records 5

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pivot Physical Therapy of Pennsylvania LLCGroup PAC ID 4981971843, 123 clinicians

Professional Sportscare and Rehab of West Virginia LLCGroup PAC ID 7719037027, 15 clinicians

LHM Physical Therapy Institute LLCGroup PAC ID 2062873151, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• LHM Physical Therapy Institute LLC

  • Physical Therapist
  • Shrewsbury, PA
  • NPI 1841981487
  Medicare reassignment Care Compare group NPD
• Pivot Physical Therapy of Pennsylvania, LLC

  • Physical Therapist
  • South Abington Township, PA
  • NPI 1881132488
  Medicare reassignment Care Compare group NPD
• Professional Sportscare & Rehab of West Virginia, LLC

  • Physical Therapist
  • Shepherdstown, WV
  • NPI 1548404577
  Medicare reassignment Care Compare group NPD
• Adams County Physical Therapy Limited Partnership

  • Physical Therapist
  • Hanover, PA
  • NPI 1306879507
  Medicare reassignment NPD
• East Suburban Sports Medicine Center LP

  • Physical Therapist
  • Murrysville, PA
  • NPI 1730925538
  Medicare reassignment NPD
• Mishock Physical Therapy LP

  • Physical Therapist
  • Gilbertsville, PA
  • NPI 1689011173
  Medicare reassignment NPD
• US PT Alliance Rehabilitation Services Inc

  • Physical Therapist
  • York, PA
  • NPI 1871752493
  Medicare reassignment NPD
• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  WI

  Medicare reassignment NPD
• Professional Sportscare & Rehab, LLC

  • Clinic/Center
  • Winchester, VA
  • NPI 1033142294

  DC, Physical Therapist

  Medicare reassignment NPD
• Progressive Physical Therapy, LLC

  • Physical Therapist
  • Marriottsville, MD
  • NPI 1659553535

  DC

  Medicare reassignment NPD
• Star Physical Therapy LP

  • Physical Therapist
  • Nashville, TN
  • NPI 1396704094
  Medicare reassignment NPD
• LHM Physical Therapy Institute LLC

  • Physical Therapist
  • Chambersburg, PA
  • NPI 1013894161
  NPD

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1508633082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "570-550-0168",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WEST ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571405",
            "telephone_number": "570-996-6200",
            "fax_number": "570-996-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 E Greenville St Ste B",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296212285",
            "country_code": "US",
            "telephone_number": "864-225-7552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Brandywine St NW Ste 301",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200161876",
            "country_code": "US",
            "telephone_number": "302-764-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITANI",
        "first_name": "BALSAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11939",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "4001 Brandywine St NW Ste 301",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200161876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul J Herbener, D.C.
• Gerard J Hildebrand, OD
• Emily Hotaling
• Donald F Hull III, MD
• Ian a Kellman MD LLC
• Elissa Lee Jacob
• Alfred Stephen Jaskulski, D.M.D.
• Kirsten A Jervis, O.D.
• David Robert Jones, PA-C
• Elayne Kristen Jones, LPC

• Physical Therapist in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.