Baudendistel Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

22431 Issued in CA

Legal business name

BAUDENDISTEL PHYSICAL THERAPY

Practice address

3609 Mission Ave Ste C
Carmichael, CA 95608-2955

Phone

(916) 487-4681

NPI assigned

Aug 26, 2014

Last updated

Aug 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Arthur William Baudendistel, PT, OCS, COMTNPI 1609874635

Title

Owner/Physical Therapist

Phone

(916) 487-4681

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arthur William Baudendistel, PT, DCS, COMT

  • Orthopedic Physical Therapist
  • Carmichael, CA
  • NPI 1609874635
  NPD (past) Authorized official
• Matthew James Baudendistel, DPT

  • Physical Therapy Clinic/Center
  • Carmichael, CA
  • NPI 1639624497
  NPD (past)

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1295135390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 MISSION AVE STE C",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082955",
            "telephone_number": "916-487-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 MISSION AVE STE C",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082955",
            "telephone_number": "916-487-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUDENDISTEL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "BAUDENDISTEL",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "916-487-4681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, OCS, COMT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "22431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Bernard Baron, MD
• Tresa Jean Barrientos
• Ramey A. V. Barrios, M.S., CCC-SLP
• Darlene Ida Barton, MFT INTERN
• Baudendistel Physical Therapy
• Arthur William Baudendistel, PT, DCS, COMT
• Matthew James Baudendistel, DPT
• Stephen Norman Bauer, M.D.
• Tanya Lynn Bauguss, BA
• Bay Area Foot Care, Inc (Bay Area Foot Care)

• Orthopedic Physical Therapist in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.