Matthew Joseph Baerlocher, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-3213 Issued in ID

Practice address

1800 Flandro Dr
Suite 190
Pocatello, ID 83202-4912

Phone

(208) 233-2248

Fax

(208) 233-0219

NPI assigned

Jun 3, 2013

Last updated

Jun 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Functional Performance and Athletics: Doctors of Physical Therapy

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  NPD Authorized official
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  • Rural Health Clinic/Center
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  NPD (past)

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1851738637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FLANDRO DR",
            "address_2": "SUITE 190",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832024912",
            "telephone_number": "208-233-2248",
            "fax_number": "208-233-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FLANDRO DR",
            "address_2": "SUITE 190",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832024912",
            "telephone_number": "208-233-2248",
            "fax_number": "208-233-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAERLOCHER",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-3213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Avila
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• Linda L. Babbitt, M.D.
• Lorin C Bachman, M.D.
• Lisa Baier
• Jared Bailey, M.D.
• Jessica Bailey, PA
• Jordan Lyle Bailey, M.D.
• Arnel Roy Baird, O.D.

• Physical Therapist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.