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

Individual provider Physical Therapy Assistant · NPI 1336437375

Domingo Baltazar, PTA is a Physical Therapy Assistant in Chicago, Illinois. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

901 S Austin Blvd
Chicago, IL 60644-5311
Phone: (773) 287-9181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1336437375
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 12, 2011
Last updated in NPPESJuly 12, 2011

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