Arthur William Baudendistel, PT, DCS, COMT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

CZ11226 Issued in CA

Practice address

3609 Mission Ave
Ste C
Carmichael, CA 95608-2955

Phone

(916) 487-4681

Fax

(916) 487-4687

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Folsom Physical Therapy and Training Center IncGroup PAC ID 9032646880, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew James Baudendistel, DPT

  • Physical Therapy Clinic/Center
  • Carmichael, CA
  • NPI 1639624497
  Medicare reassignment

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.

• Folsom Physical Therapy & Training Center Inc

  • Physical Therapy Clinic/Center
  • Folsom, CA
  • NPI 1376379248
  Medicare reassignment Care Compare group
• Baudendistel Physical Therapy

  • Orthopedic Physical Therapist
  • Carmichael, CA
  • NPI 1295135390
  NPD (past) Authorized official
• Baudendistel Physical Therapy

  • Physical Therapy Clinic/Center
  • Carmichael, CA
  • NPI 1134907181

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1609874635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 MISSION AVE",
            "address_2": "STE C",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082955",
            "telephone_number": "916-487-4681",
            "fax_number": "916-487-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 MISSION AVE",
            "address_2": "STE C",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082955",
            "telephone_number": "916-487-4681",
            "fax_number": "916-487-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDENDISTEL",
        "first_name": "ARTHUR",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PT, DCS, COMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "CZ11226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMP ID",
            "identifier": "68-0419075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "CA-11226",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tresa Jean Barrientos
• Ramey A. V. Barrios, M.S., CCC-SLP
• Darlene Ida Barton, MFT INTERN
• Baudendistel Physical Therapy
• Baudendistel Physical Therapy
• Matthew James Baudendistel, DPT
• Stephen Norman Bauer, M.D.
• Tanya Lynn Bauguss, BA
• Bay Area Foot Care, Inc
• Ardalan Bayat, CMT

• Orthopedic Physical Therapist in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.