Rio Camille Baltazar

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01787400 Issued in NJ

Practice address

2619 Burns PL
Union, NJ 07083-5621

Phone

(817) 773-1510

NPI assigned

Apr 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ

  Medicare reassignment Care Compare group NPD
• Excellent Homecare of NJ LLC

  • Physical Therapist
  • Wayne, NJ
  • NPI 1427602549
  Medicare reassignment NPD

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1669906780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 BURNS PL",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835621",
            "telephone_number": "817-773-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 BURNS PL",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835621",
            "telephone_number": "817-773-1510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 W Sample Rd",
            "address_2": "Apt 304",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330673248",
            "country_code": "US",
            "telephone_number": "551-262-9182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Cottage St",
            "address_purpose": "LOCATION",
            "city": "Berkeley Heights",
            "state": "NJ",
            "postal_code": "079221508",
            "country_code": "US",
            "telephone_number": "908-897-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTAZAR",
        "first_name": "RIO CAMILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1239581",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01787400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadaysia A Baker
• Balance Mind & Wellness Psychiatry
• Lauren Baldonado, PH.D., BCBA-D
• David Balkan, MPT
• Keith Dominic Galino Baltazar, DPT
• Ololade Omolola Bamigbe X
• Anuj Bapodra, MD
• Lori Barnett, LCSW
• Sarah Mia Barnum
• Everda Emmanuella Baron

• Physical Therapist in Union, NJ
• Providers in Union, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.