Jack E Bal Jr., PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305207683 Issued in VA

Practice address

4019 18TH St S
Arlington, VA 22204-5141

Phone

(703) 967-9981

Fax

(571) 464-6587

NPI assigned

Nov 26, 2012

Last updated

Jun 4, 2024By the provider in NPPES

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 DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Bal Therapy LLC

  • Physical Therapist
  • Arlington, VA
  • NPI 1003426297

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1861736118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 18TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045141",
            "telephone_number": "703-967-9981",
            "fax_number": "571-464-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 18TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045141",
            "telephone_number": "703-967-9981",
            "fax_number": "571-464-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAL",
        "first_name": "JACK",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Baker
• Jack David Baker, PHD
• Lauren Kimberly Baker, ATC
• Tracy Anne Baker, PT
• Bal Therapy LLC
• Jessica Victoria Balagtas, DNP, FNP
• Emily Anastasia Balata, PT, DPT
• Michael Balensiefer
• Emily Balko
• Kirsten Van Steenberg Ball, MD

• Physical Therapist in Arlington, VA
• Providers in Arlington, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.