Rebekah Rose Baltis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301837 Issued in CA

Practice address

3150 Holland Ave
Clovis, CA 93619-8936

Phone

(559) 355-3824

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2023.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1972205672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HOLLAND AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198936",
            "telephone_number": "559-355-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HOLLAND AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198936",
            "telephone_number": "559-355-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTIS",
        "first_name": "REBEKAH",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Baker, DMD
• Gurminder Kaur Bala, NP
• Lakshyaa Balakrishnan
• Joy Baldwin
• Manuel Balikian, MD
• Archana Bangalore
• Parmala Kumari Bangar, M.D.
• Christian Banks
• Jordan Banuelos
• Kassandra Ariana Banuelos

• All providers in Clovis, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.