Eric D Baldonado, MSPT

Key facts

NPI

1649468232

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

11-02819 (KS)

Practice address

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797

Phone

(620) 223-7029

NPI assigned

Oct 9, 2007

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 9, 2007.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1649468232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 209TH TER",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018508",
            "telephone_number": "620-223-0817",
            "fax_number": "620-223-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018797",
            "telephone_number": "620-223-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDONADO",
        "first_name": "ERIC",
        "middle_name": "D",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erin Bahr
• Malinda R Bailey
• Michael Brian Becker, PA
• Charles Vincent Begulia Jr., CNA,CMA
• Danielle M Bennett, RN
• Kaley Nicole Binford, DNP, PMHNP-BC
• Bio-Medical Applications of Kansas, Inc.

All providers in Fort Scott, KS · Physical Therapist in Kansas