Active NPI
Eric Blaine Baltodano, DPT
- Physical Therapist
- Cypress, TX
National Provider Identifier
1003523804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1329120
- Practice address
- 13215 Grant Rd Ste 900
Cypress, TX 77429-4094 - Phone
- (832) 220-9211
- Fax
- (832) 610-2354
- NPI assigned
- Nov 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1329120 | TX | Primary |
Addresses
Primary practice location
13215 Grant Rd Ste 900
Cypress, TX 77429-4094
Mailing address
13215 Grant Rd Ste 900
Cypress, TX 77429-4094
Phone (832) 220-9211
Other practice location 1
102 N Travis Ave
Cleveland, TX 77327-4012
Phone (281) 592-2884
Other practice location 2
7840 Fm 1960 Rd E Ste 408409
Humble, TX 77346-2259
Phone (281) 812-6665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients |
Locations
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
Interoperability endpoints
- eric.baltodano.1@30127.direct.athenahealth.com
- eric.baltodano.1@19133.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Ph.D. Medical Genetics
- Houston, TX
- NPI 1881026664
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1003523804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13215 GRANT RD STE 900",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294094",
"telephone_number": "832-220-9211",
"fax_number": "832-610-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13215 GRANT RD STE 900",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294094",
"telephone_number": "832-220-9211",
"fax_number": "832-610-2354"
}
],
"practiceLocations": [
{
"address_1": "102 N Travis Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "TX",
"postal_code": "773274012",
"country_code": "US",
"telephone_number": "281-592-2884",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7840 Fm 1960 Rd E Ste 408409",
"address_purpose": "LOCATION",
"city": "Humble",
"state": "TX",
"postal_code": "773462259",
"country_code": "US",
"telephone_number": "281-812-6665",
"fax_number": "281-812-6869",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALTODANO",
"first_name": "ERIC",
"middle_name": "BLAINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1329120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.