Michellane Alvarez Baluyot, PT ASST

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

AT9008 Issued in CA

Practice address

115 Bridge St
San Gabriel, CA 91775-2719

Phone

(626) 289-4439

Fax

(626) 289-0056

NPI assigned

Aug 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1235361239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BRIDGE ST",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752719",
            "telephone_number": "626-289-4439",
            "fax_number": "626-289-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRIDGE ST",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752719",
            "telephone_number": "626-289-4439",
            "fax_number": "626-289-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALUYOT",
        "first_name": "MICHELLANE",
        "middle_name": "ALVAREZ",
        "credential": "PT ASST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "AT9008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Maung Aung, DDS
• Avtar S. Kumar, M.D., Inc
• Caitlin R Azus, BA/BS
• Maria Balbuena Nava, BA
• Armine Baltayan, MD
• Irene B Bambico, BA
• Leslie B Bambico, M.S.
• Marisol Barradas Avalos
• Julie Cser Barron, M.S., P.A.-C.
• Wyndelyn Barz

• Geriatric Physical Therapist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.