Active NPI
Vincent Wayne Baldwin, PT, DPT
- Physical Therapist
- Sun City West, AZ
National Provider Identifier
1821466889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11027
- Practice address
- 19303 N New Tradition Rd
Sun City West, AZ 85375-3806 - Phone
- (623) 547-5088
- NPI assigned
- Sep 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11027 | AZ | Primary |
Addresses
Primary practice location
19303 N New Tradition Rd
Sun City West, AZ 85375-3806
Mailing address
15742 W Watson LN
Surprise, AZ 85379-5603
Phone (801) 472-9970
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11027 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1821466889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15742 W WATSON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853795603",
"telephone_number": "801-472-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19303 N NEW TRADITION RD",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853753806",
"telephone_number": "623-547-5088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "VINCENT",
"middle_name": "WAYNE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-08",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.