Joseph R Baumgarden, PT, DPT
Individual provider Active NPI Physical Therapist · Lancaster, NY
NPI 1821178641 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1821178641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 021776 (NY)
- Practice address
- 5949 Broadway St
Lancaster, NY 14086-9523 - Phone
- (716) 684-3000
- Fax
- (716) 684-5286
- NPI assigned
- Oct 16, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 021776 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021776 | NY | Yes |
Addresses
Primary practice location
5949 Broadway St
Lancaster, NY 14086-9523
Mailing address
5949 Broadway St
Lancaster, NY 14086-9523
Phone (716) 684-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01182512 | Medicaid | NY |
Other providers in Lancaster, NY
- Matthew Baker
- Balanced Health Nurse Practitioners in Adult Health PLLC
- Carolyn Ann Banach
- Carrie Baney
- Lauren A Barbati
- Daniel P Beicke
- Devita Bell
- Jean Marie Bennett
- Maura Margaret Beres
- Christine Berry-Krazmien
All providers in Lancaster, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.