Individual provider Active NPI

Rochelle Anne Balde Baes, PTA

  • Physical Therapy Assistant
  • Saint Cloud, FL
National Provider Identifier
1760995799
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA28008 Issued in FL
Practice address
1361 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-5823
Phone
(407) 957-1454
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA28008 FL Primary

Addresses

Primary practice location

1361 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-5823

Mailing address

3062 Cameron Dr
Kissimmee, FL 34743-6085
Phone (407) 910-8141

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA28008FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1760995799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3062 CAMERON DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347436085",
            "telephone_number": "407-910-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 E IRLO BRONSON MEMORIAL HWY",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347715823",
            "telephone_number": "407-957-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAES",
        "first_name": "ROCHELLE ANNE",
        "middle_name": "BALDE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.