Mark Henry Baughman, PT ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21322 Issued in FL

Practice address

2370 3Rd St S
Suite 2
Jacksonville Beach, FL 32250-4023

Phone

(904) 853-5106

Fax

(904) 853-5107

NPI assigned

Jan 4, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coltman and Baughman Physical Therapy PAGroup PAC ID 6305063488, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Coltman and Baughman Physical Therapy PA

  • Physical Therapy Clinic/Center
  • Jacksonville Beach, FL
  • NPI 1659781300
  Medicare reassignment Care Compare group Authorized official
• Atlas Physical Therapy & Sports Medicine Inc

  • Physical Therapist
  • St Augustine, FL
  • NPI 1184214546
  NPD (past)
• Atlas Physical Therapy & Sports Medicine Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1508859893
  NPD (past)
• Premier Physical Therapy and Rehabilitation of Jacksonville, Inc

  • Physical Therapist
  • Ponte Vedra Beach, FL
  • NPI 1821855586
  NPD (past)
• Premier Physical Therapy and Rehabilitation of Jacksonville, Inc.

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1467594358
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1336296334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 3RD ST S",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504023",
            "telephone_number": "904-853-5106",
            "fax_number": "904-853-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 3RD ST S",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504023",
            "telephone_number": "904-853-5106",
            "fax_number": "904-853-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHMAN",
        "first_name": "MARK",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "PT ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015235500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Louis Basile, M.D.
• Robert T. Bass Jr., MD
• Jenny Batalla, LMHC
• Laura Ashley Bateh, PHARM.D.
• Paula Smith Bauer, MSW
• Beach Optical Company
• Beaches Acupuncture & Wellness Center
• Beaches Behavioral Medicine
• Beaches Confident Kids LLC
• Beaches Counseling & Therapy

• Physical Therapist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.