Active NPI
Dominic Baiocco, DPT
- Physical Therapist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 293369
- Practice address
- 4205 San Felipe Rd Ste 100
San Jose, CA 95135-1546 - Phone
- (408) 238-1552
- NPI assigned
- Sep 5, 2017
- Last updated
- Dec 21, 2018
- Sex
- Male
- 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 | 293369 | CA | Primary |
Addresses
Primary practice location
4205 San Felipe Rd Ste 100
San Jose, CA 95135-1546
Mailing address
4205 San Felipe Rd Ste 100
San Jose, CA 95135-1546
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1916 N Main St
Salinas, CA 93906-2034
Phone (831) 276-0560
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.73 of 100
- Quality
- 41.21
- Improvement activities
- 40
- Cost
- 83.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293369 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Creek Fitness and Physical Therapy | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Golden Bear Physical Therapy Sports Injury Center, Inc | Physical Therapist | Current | Accepting new patients |
Locations
68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630
1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946
5600 Mowry School Rd
Ste 305
Newark, CA 94560
Phone (510) 651-9258
1586 Constitution Blvd
Salinas, CA 93905
Phone (831) 276-0565
1916 N Main St
Salinas, CA 93906
Phone (209) 508-9573
121 Bernal Rd
San Jose, CA 95119
Phone (408) 227-2141
4205 San Felipe Rd
Ste 100
San Jose, CA 95135
Phone (408) 238-1552
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Modesto, CA
- NPI 1811084676
Physical Therapist
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
dba Silver Creek Physical Therapy
- Physical Therapist
- San Jose, CA
- NPI 1063510337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1285152736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 SAN FELIPE RD STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951351546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 SAN FELIPE RD STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951351546",
"telephone_number": "408-238-1552"
}
],
"practiceLocations": [
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "866-839-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAIOCCO",
"first_name": "DOMINIC",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-05",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "293369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.