Joseph Alan Baxter, D.P.T.
Individual provider Active NPI Physical Therapist · Ithaca, MI
NPI 1457731218 · NPPES record last updated Feb 1, 2024
Key facts
- NPI
- 1457731218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501017209 (MI)
- Practice address
- 203 Dilts Rd
Ithaca, MI 48847-9475 - Phone
- (989) 875-2266
- Fax
- (989) 875-2225
- NPI assigned
- Jun 5, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ithaca Physical Therapy, Inc
Practice addresses (Care Compare)
203 Dilts Rd
Ithaca, MI 48847-9475
Phone (989) 875-2266
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150629000133 | MI | Practitioner - Physical Therapist in Private Practice | 1850603283 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501017209 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ithaca Physical Therapy, Inc | Physical Therapist | Current |
Accepting new patients |
Locations
733 W Warwick Dr
Unit A
Alma, MI 48801
Phone (989) 463-0345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501017209 | MI | Yes |
Addresses
Primary practice location
203 Dilts Rd
Ithaca, MI 48847-9475
Mailing address
203 Dilts Rd
Ithaca, MI 48847-9475
Phone (989) 875-2266
Other practice location 1
733 W Warwick Dr Unit A
Alma, MI 48801-1115
Phone (989) 463-0345
Other providers in Ithaca, MI
- Aubree Akers
- Russell J Anderson
- Shelly Laone Bailey
- Braden Ball
- Martha A Bamfield
- Amy Bray
- Alex Sean Catlin
- Catherine Marie Chimo
- Daily Living Homecare, Inc.
- Darren M Riopelle DDS
All providers in Ithaca, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.