Justin Balavram
NPI 1609325190ActiveIndividual· Physical Therapist· Hackensack, NJ
Physical Therapist in Hackensack, New Jersey, trained at State University of New York at Buffalo School of Medicine (class of 2016). Medicare paid $129,482 for services to 130 patients in 2024.
Overview
| NPI | 1609325190 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 26, 2016 |
| Last updated in NPPES | Sep 26, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01695700 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 130 |
|---|---|
| Services billed | 6,283 across 10 procedure codes |
| Paid by Medicare | $129,482 |
Education and affiliations
| Medical school | State University of New York at Buffalo School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Gramercy Medical Pain Management PAPearl River, NY · 2 clinicians
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All 133 physical therapists in Hackensack · All physical therapists in New Jersey