Rodiel Kirby Layson Baloy II, MS, PT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34304 Issued in CA

Practice address

8873 Adams Ave
Huntington Beach, CA 92646-3301

Phone

(714) 962-8818

Fax

(714) 962-8819

NPI assigned

Dec 18, 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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reynoso Bruce Chiropractic CorpGroup PAC ID 4789878208, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Reynoso-Bruce Chiropractic Corp

  • Chiropractor
  • Huntington Beach, CA
  • NPI 1275760209

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Beach Pro Physical Medicine, Inc

  • Physical Medicine & Rehabilitation Physician
  • Huntington Beach, CA
  • NPI 1447861653
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1407030117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8873 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463301",
            "telephone_number": "714-600-1758",
            "fax_number": "714-962-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8873 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463301",
            "telephone_number": "714-962-8818",
            "fax_number": "714-962-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOY",
        "first_name": "RODIEL KIRBY",
        "middle_name": "LAYSON",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MS, PT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geysy Balam Lara
• Nare Balasanyan, RN
• Marissa Baldry, MS, RD
• Richard Baldwin
• Chyna M Balonick, PT
• Delanee Balta
• Victoria Bandini
• Gilda C Banta, DDS
• Chloe Kassidy Baquiran
• Chelsea Barajas

• Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.