Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake William Baumgartner

Individual provider Physical Therapist · NPI 1720811300

Blake William Baumgartner is a Physical Therapist in Private Practice in Newhall, California. Qualified in 2024, 2 years ago. Practices with Bandb Physical Therapy, Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024

Practice location Address checks out

24355 Lyons Ave Ste 100
Newhall, CA 91321-2332
Phone: (661) 803-9997
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 306739 (CA)

Record details

NPI number1720811300
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address24355 Lyons Ave Ste 100, Newhall, CA 91321-2332

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Bandb Physical Therapy, Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Newhall