Wendy A Baldwin Kieb, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0026721 Issued in NY

Practice address

240 W Seneca St Ste 8
Manlius, NY 13104-2451

Phone

(315) 682-0325

Fax

(631) 792-1103

NPI assigned

Sep 2, 2011

Last updated

Sep 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1770864811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 TROOP K RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042326",
            "telephone_number": "315-682-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W SENECA ST STE 8",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042451",
            "telephone_number": "315-682-0325",
            "fax_number": "631-792-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN KIEB",
        "first_name": "WENDY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0026721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0026721",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Manlius, NY
• Providers in Manlius, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.