Provider Demographics
NPI:1487680450
Name:BAUMSTARK, DANIEL GEORGE (MSPT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:GEORGE
Last Name:BAUMSTARK
Suffix:
Gender:M
Credentials:MSPT
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Mailing Address - Street 1:1001 CONNECTICUT AVENUE NW, #330
Mailing Address - Street 2:WASHINGTON PHYSIODC, LLC
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036
Mailing Address - Country:US
Mailing Address - Phone:202-223-8500
Mailing Address - Fax:202-223-8300
Practice Address - Street 1:1001 CONNECTICUT AVENUE NW, #330
Practice Address - Street 2:WASHINGTON PHYSIODC, LLC
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-223-8500
Practice Address - Fax:202-223-8300
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2019-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCPT2916225100000X, 2251X0800X, 2251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
016048L77Medicare UPIN