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

Madelaine Baco, DPT

Individual provider Physical Therapist · NPI 1174100416

Madelaine Baco, DPT is a Physical Therapist in Private Practice in Kenmore, New York. Qualified in 2020, 6 years ago. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
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

2438 Elmwood Ave
Kenmore, NY 14217-2244
Phone: (716) 873-9154
Fax: (716) 875-3796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046875-01 (NY)

Record details

NPI number1174100416
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address2438 Elmwood Ave, Kenmore, NY 14217-2244

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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