Diane Baldemor, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1245512 Issued in TX

Practice address

3414 Ella Blvd
Houston, TX 77018-6100

Phone

(713) 686-8408

NPI assigned

Nov 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Mid West Medical College, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1902440654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 ELLA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186100",
            "telephone_number": "713-686-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDEMOR",
        "first_name": "DIANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1245512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DBaldemor@selectmedical.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "4009 Richmond Ave",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770276817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edna Balboa, M.ED., LPC
• Victoria Balch
• Harmit Haile Balcha, MD
• Rajeev Balchandani, M.D.
• Maryam Basem Baldawi, DDS
• Alana Torio Balderas
• Jessica Ann Balderas
• Maria S. Balderas
• Elizabeth Anne Baldo, PHYSICIAN ASSISTANT
• Vivian Baldovino, NP

• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.