Jay N Baitz, P.T.

Individual provider Active NPI Specialist · Charlotte, NC

NPI 1861542052 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1861542052
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
5243 (NC)
Practice address
9346 Kimmel LN
Charlotte, NC 28216-1858
Phone
(704) 399-3540
NPI assigned
Jan 11, 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5243 NC Yes

Addresses

Primary practice location

9346 Kimmel LN
Charlotte, NC 28216-1858

Mailing address

9346 Kimmel LN
Charlotte, NC 28216-1858
Phone (704) 995-7901

Other providers in Charlotte, NC

All providers in Charlotte, NC · Specialist in North Carolina

Sources for this page

Verify at the official NPI Registry.