Active NPI
Lori Anne Baydush, PT
- Physical Therapist
- Winston Salem, NC
National Provider Identifier
1205067006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2810
- Practice address
- 770 Highland Oaks Dr
Winston Salem, NC 27103-7105 - Phone
- (336) 718-6700
- Fax
- (336) 718-6798
- NPI assigned
- Jul 29, 2009
- Sex
- Female
- 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 | 2810 | NC | Primary |
Addresses
Primary practice location
770 Highland Oaks Dr
Winston Salem, NC 27103-7105
Mailing address
PO Box 601791
Charlotte, NC 28260-1791
Phone (336) 718-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1205067006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601791",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601791",
"telephone_number": "336-718-6700",
"fax_number": "336-718-6798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 HIGHLAND OAKS DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271037105",
"telephone_number": "336-718-6700",
"fax_number": "336-718-6798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYDUSH",
"first_name": "LORI",
"middle_name": "ANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.