NPIMap

Organization Active NPI

Baldwin Physical Therapy Inc.

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1043412679
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 19105 Issued in CA
Legal business name
BALDWIN PHYSICAL THERAPY INC.
Practice address
5214 E Los Altos PLZ
Long Beach, CA 90815-4251
Phone
(562) 597-3035
Fax
(562) 597-3055
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle Fred Baldwin, PTNPI 1174652481
Title
President
Phone
(562) 597-3035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 19105 CA Primary

Addresses

Primary practice location

5214 E Los Altos PLZ
Long Beach, CA 90815-4251

Mailing address

5214 E Los Altos PLZ
Long Beach, CA 90815-4251
Phone (562) 597-3035

Other names 1

  • Center for Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070919000957 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820182306 Receives reassigned benefits from 7 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

5214 E Los Altos Plz
Long Beach, CA 90815
Phone (562) 597-3035

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1043412679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 E LOS ALTOS PLZ",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154251",
            "telephone_number": "562-597-3035",
            "fax_number": "562-597-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 E LOS ALTOS PLZ",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154251",
            "telephone_number": "562-597-3035",
            "fax_number": "562-597-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-597-3035",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT   19105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.