Individual provider Active NPI

Sheri Lynette Baldwin, P.T.

  • Physical Therapist
  • San Luis Obispo, CA
National Provider Identifier
1801957568
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17498 Issued in CA
Practice address
3421 Empresa Dr
San Luis Obispo, CA 93401-7364
Phone
(805) 783-2390
Fax
(805) 783-2402
NPI assigned
Dec 13, 2006
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT17498 CA Primary

Addresses

Primary practice location

3421 Empresa Dr
San Luis Obispo, CA 93401-7364

Mailing address

3421 Empresa Drive
Suite D
San Luis Obispo, CA 93401-2820
Phone (805) 783-2390

Other practice location 1

900 Main St
Cambria, CA 93428-2820
Phone (805) 924-1605

Other identifiers 3

IdentifierTypeStateIssuer
PT0174980MedicaidCA
PT0174980OtherCARAIL ROAD MEDICARE NUMBER
OPT174980OtherCABLUE SHIELD PROVIDER NUMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050405000903 CA Practitioner - Physical Therapist in Private Practice 4981651692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spirit Winds Physical Therapy IncGroup PAC ID 7315330750, 3 clinicians
McCain Physical Therapy IncGroup PAC ID 2466808936, 6 clinicians

Practice addresses (Care Compare)

1257 Laurel LN
San Luis Obispo, CA 93401-5808
Phone (805) 543-5103

900 Main St
Cambria, CA 93428-2820
Phone (805) 924-1605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cambria Community Rehabilitation, Inc. Physical Therapist CurrentSince Jun 14, 2005 Accepting new patients
McCain Physical Therapy Inc. Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Spirit Winds Physical Therapy, Inc. Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients

Locations

1266 Tamsen St
Ste 101
Cambria, CA 93428
Phone (805) 924-1605

4070 West St
Cambria, CA 93428
Phone (805) 440-3225

900 Main St
Cambria, CA 93428
Phone (805) 924-1605

1257 Laurel Ln
San Luis Obispo, CA 93401
Phone (805) 543-5100

3421 Empresa Dr
Ste D
Sn Luis Obisp, CA 93401
Phone (805) 783-2390

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1801957568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 EMPRESA DRIVE",
            "address_2": "SUITE D",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012820",
            "telephone_number": "805-783-2390",
            "fax_number": "805-783-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 EMPRESA DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017364",
            "telephone_number": "805-783-2390",
            "fax_number": "805-783-2402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Main St",
            "address_purpose": "LOCATION",
            "city": "Cambria",
            "state": "CA",
            "postal_code": "934282820",
            "country_code": "US",
            "telephone_number": "805-924-1605",
            "fax_number": "805-924-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "SHERI",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0174980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE NUMBER",
            "identifier": "PT0174980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "OPT174980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.