Provider Demographics
NPI:1184729527
Name:BAITCH, STEPHEN P (PT)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:P
Last Name:BAITCH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 YORK RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6217
Mailing Address - Country:US
Mailing Address - Phone:410-583-9980
Mailing Address - Fax:
Practice Address - Street 1:1206 YORK RD
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6217
Practice Address - Country:US
Practice Address - Phone:410-583-9980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD150232251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
T3190001OtherBCBS CHOICE
T3190001OtherBCBS PREFERRED
T3190001OtherBCBS FEDERAL
004677OtherHELIX FAMILY CHOICE
MDJ042OtherBCBS
41052601OtherBCBS REGIONAL
T3190001OtherNCAS
T3190001OtherBCBS CHOICE
R12378Medicare UPIN