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

Mr. Kevin E Baltazar, RPT

Individual provider Physical Therapist · NPI 1720556392

Mr. Kevin E Baltazar, RPT is a Physical Therapist in Private Practice in Brooklyn, New York. Qualified in 2015, 11 years ago. Practices with Professional Occupational and Physical Therapy, PLLC, a 493-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

3907 4th Ave
Brooklyn, NY 11232-2901
Phone: (347) 457-3012
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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 040153 (NY)

Record details

NPI number1720556392
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedNovember 12, 2018
Last updated in NPPESNovember 12, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Professional Occupational And Physical Therapy, Pllc — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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