E.Anthony N Batoon, DPT

Individual provider Active NPI Physical Therapist · Berkeley, CA

NPI 1467237461 · NPPES record last updated Aug 28, 2023

Key facts

NPI
1467237461
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT304640 (CA)
Practice address
2041 Bancroft Way Ste 301
Berkeley, CA 94704-1443
Phone
(510) 644-8031
NPI assigned
Aug 28, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT304640CAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT304640 CA Yes

Addresses

Primary practice location

2041 Bancroft Way Ste 301
Berkeley, CA 94704-1443

Mailing address

PO Box 253
Berkeley, CA 94701-0253
Phone (510) 644-8031

Other names

  • Ernest Anthony N Batoon Other name

Other providers in Berkeley, CA

All providers in Berkeley, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.