Mark Campbell Baldwin, PT, CSCS

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

11321 Issued in MA

Practice address

7 Alfred St
Ste 110
Woburn, MA 01801-1900

Phone

(508) 596-8605

NPI assigned

Feb 9, 2006

Last updated

Feb 5, 2020By the provider in NPPES

Sex

Male

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

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletic Edge Physical TherapyGroup PAC ID 0042568990, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athletic Edge Physical Therapy

  • Physical Therapy Clinic/Center
  • Woburn, MA
  • NPI 1578052650

  Sports

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1255304291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 GREENWOOD ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018804034",
            "telephone_number": "508-596-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALFRED ST",
            "address_2": "STE 110",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011900",
            "telephone_number": "508-596-8605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Park St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MA",
            "postal_code": "018103684",
            "country_code": "US",
            "telephone_number": "978-409-2380",
            "fax_number": "978-409-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "MARK",
        "middle_name": "CAMPBELL",
        "name_prefix": "Mr.",
        "credential": "PT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MA",
            "license": "11321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Baker, LICSW
• Sarah Baker, LMHC
• Taylor K. Baker
• Farshad Bakhtyari, D.M.D, C.A.G.S
• Deepak Balani, D.M.D., PH.D.
• Natasha Baptiste
• Anjum Baqai, M.D.
• Isabella Rose Barbosa
• Michael Barcome, OT
• Alessandra Barletta

• Sports Physical Therapist in Woburn, MA
• Providers in Woburn, MA by specialty
• Sports Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.