Kevin N Baldeo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03649180 Issued in CT

Practice address

27 Lois St
Formula Physical Therapy, Corp
Norwalk, CT 06851-4404

Phone

(203) 642-3813

Fax

(203) 642-3815

NPI assigned

Sep 19, 2013

Sex

Male

Sole proprietor

No

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.

• Formula for Performance & Rehab, LLC

  • Physical Therapist
  • Weston, CT
  • NPI 1992114508

  CT, Physical Therapist

  Medicare reassignment NPD
• D & G Associates Waltham, Inc.

  • Anesthesiology Physician
  • Waltham, MA
  • NPI 1497778450
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1235565417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LOIS ST",
            "address_2": "FORMULA PHYSICAL THERAPY, CORP",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514404",
            "telephone_number": "203-642-3813",
            "fax_number": "203-642-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 LOIS ST",
            "address_2": "FORMULA PHYSICAL THERAPY, CORP",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514404",
            "telephone_number": "203-642-3813",
            "fax_number": "203-642-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDEO",
        "first_name": "KEVIN",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "03649180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethel T Baguio
• Victoria Lee Baines
• Kristen A Baker, PA C
• Mark Evan Baker, PHARM.D.
• Hira Bakhtiar, MD
• Danielle Ballentine, RPH
• Justyna Balzar, M.ED., BCBA
• Sharyu Amit Bande, MD
• Simon Bangiyev, DDS, MD
• Ronald Baptiste, LADC

• All providers in Norwalk, CT
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.