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

Individual provider Physical Therapist · NPI 1346587631

Kelli M Baruch, DPT is a Physical Therapist in Private Practice in Garden Grove, California. Qualified in 2012, 14 years ago. Practices with Ascend Physical Therapy Inc, a 9-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12465 Lewis St Ste 101
Garden Grove, CA 92840-4658
Phone: (714) 703-8477
Fax: (714) 703-8157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT39615 (CA)
Physical Therapist Taxonomy 225100000X · Licence 39615 (CA)

Record details

NPI number1346587631
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 7, 2013
Last updated in NPPESAugust 15, 2018
Mailing address12465 Lewis Street, Suite 101, Garden Grove, CA 92840-4658

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ascend Physical Therapy Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Garden Grove