Individual provider Active NPI

Sydney Marie Escobar Baugh, PT, DPT, CIDN

  • Physical Therapist
  • Sparks, NV
National Provider Identifier
1104554385
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6957 Issued in NV
Practice address
225 Glendale Ave Ste 12
Sparks, NV 89431
Phone
(775) 356-8181
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6957 NV Primary
Physical Therapist 225100000X 2305215223 VA

Addresses

Primary practice location

225 Glendale Ave Ste 12
Sparks, NV 89431

Mailing address

36 Colorado LN
Fallon, NV 89406-2824
Phone (804) 205-6561

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716001599 VA Practitioner - Physical Therapist in Private Practice 7719422609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

2117 McComas Way
Suite 105
Virginia Beach, VA 23456-3908
Phone (757) 427-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6957NVMDGeneral Practice Dentistry
2305215223VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jun 13, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jun 13, 2024 Accepting new patients

Locations

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

2117 McComas Way
Ste 105
Virginia Beach, VA 23456
Phone (757) 427-5505

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.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1104554385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 COLORADO LN",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062824",
            "telephone_number": "804-205-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GLENDALE AVE STE 12",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89431",
            "telephone_number": "775-356-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR BAUGH",
        "first_name": "SYDNEY MARIE",
        "credential": "PT, DPT, CIDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6957",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.