Mark Balatico, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1149 W 190TH St
Gardena, CA 90248-4321

Phone

(310) 324-5777

NPI assigned

May 6, 2024

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1932956174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7743 TOLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453240",
            "telephone_number": "310-703-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 W 190TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484321",
            "telephone_number": "310-324-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALATICO",
        "first_name": "MARK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Namasha Baker-Walls, NP
• Keturah Baker, MA, LMFT
• Stancia Baker
• Twaneisha Deauncey Baker
• Seema Bakshi
• Jade Balbas
• Cynthia Balboa
• Janet Balbuena
• Yesenia Sujey Balderas
• Ava Elyse Baldini

• Physical Therapist in Gardena, CA
• Providers in Gardena, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.