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

Individual provider Physical Therapist · NPI 1689209322

Mr. Benjamin Robert Baumgardner, DPT is a Physical Therapist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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

5524 Marit Dr
Santa Rosa, CA 95409-3829
Phone: (707) 367-8831
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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 292519 (CA)
Physical Therapist Taxonomy 225100000X · Licence 292519

Record details

NPI number1689209322
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 3, 2020
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020
Mailing address34 Mark West Springs Rd Ste 300, Santa Rosa, CA 95403-1783

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