Provider Demographics
NPI:1891021309
Name:BALLINAS, JOY BITANGCOL (RPT)
Entity Type:Individual
Prefix:MISS
First Name:JOY
Middle Name:BITANGCOL
Last Name:BALLINAS
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 SPRING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-9742
Mailing Address - Country:US
Mailing Address - Phone:610-530-8089
Mailing Address - Fax:
Practice Address - Street 1:1680 SPRING CREEK RD
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062-9742
Practice Address - Country:US
Practice Address - Phone:610-530-8089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-19
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027187225100000X
PAPT018029225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist