Benjamin Ronald Baumler, PT

Individual provider Active NPI Physical Therapist · Irving, NY

NPI 1801014667 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1801014667
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
0185371 (NY)
Practice address
845 Main Rd
Irving, NY 14081-9706
Phone
(716) 951-7270
Fax
(716) 951-7271
NPI assigned
Apr 24, 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

LicenseStateTypeSpecialty
0185371NYMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0185371 NY Yes

Addresses

Primary practice location

845 Main Rd
Irving, NY 14081-9706

Mailing address

845 Main Rd
Irving, NY 14081-9706
Phone (716) 951-7270

Other providers in Irving, NY

All providers in Irving, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.