Jonathan Brian Baldwin, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6044 Issued in SC

Practice address

100 Prather Park Dr
Suite a
Myrtle Beach, SC 29588-7910

Phone

(843) 742-5701

Fax

(843) 742-5704

NPI assigned

Apr 26, 2011

Last updated

Apr 26, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rivertown Lymphedema Clinic and Rehab, LLC

  • Physical Therapy Clinic/Center
  • Myrtle Beach, SC
  • NPI 1306074885
  NPD (past)

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1376834275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRATHER PARK DR STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887910",
            "telephone_number": "843-742-5791",
            "fax_number": "843-742-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRATHER PARK DR",
            "address_2": "SUITE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887910",
            "telephone_number": "843-742-5701",
            "fax_number": "843-742-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "JONATHAN",
        "middle_name": "BRIAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Olivia Baker
• Daniel Scott Baker, MD, PHARMD
• Mary Sara Baker, M.D.
• Melanie Baker, PTA
• Paul Lincoln Baldridge, MD
• Alejandra Balen, M.D.
• Carolyn M. Ball, LPC
• Jared Scott Ballard, CF-SLP
• Ashley Baltes, LMSW
• Stacey Glen Banis, APRN

• Physical Therapist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.