Joseph Baxter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070024485 Issued in IL

Practice address

117 E Clark St
Harrisburg, IL 62946-2702

Phone

(618) 294-9326

NPI assigned

Jul 14, 2020

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2020.

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1033737259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575B FEAZEL RD",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629464674",
            "telephone_number": "618-694-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E CLARK ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462702",
            "telephone_number": "618-294-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Axolotl, LLC
• Angelia Leigh Ayresbennett
• Tiffany Leeann Baird, REGISTERED NURSE
• Danielle Baker, APN
• Stephan Barnard, PHARMD
• Sydney Beaupre
• Elizabeth Ann Bebout, PAC
• Randall David Bell, DMD
• Ty D Biggs, DC
• Bio-Medical Applications of Illinois, Inc.

• All providers in Harrisburg, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.