KELLI M BARUCH


Address: 12465 Lewis Street, Suite 101, Garden Grove, CA 92840-4658
Phone: 7147038477

KELLI M BARUCH (NPI# 1346587631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346587631
Entity Type Individual
Full Name KELLI M BARUCH
Other Name KELLI M CROUSE
Credential DPT
Practice Address 12465 Lewis Street
Suite 101
Garden Grove
CA 92840-4658
Practice Telephone 7147038477
Practice Fax Number 7147038157
Mailing Telephone 7147038477
Mailing Fax Number 7147038157
Enumeration Date 2013-01-07
Last Update Date 2018-08-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225100000X Physical Therapist 39615 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
PT39615 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 12465 LEWIS STREET
SUITE 101
City GARDEN GROVE
State CA
Zip Code 92840-4658

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760726574 Joseph Park Physical Therapist 12465 Lewis Street, Suite 101, Garden Grove, CA 92840-4658 2012-11-16
1669924973 Genevieve Rose Neely Physical Therapist 12465 Lewis Street, Suite 101, Garden Grove, CA 92840-4658 2016-11-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588283808 Kimberly Gaeta Behavioral Analyst 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 2020-04-16
1396397170 Rosa Cortez Behavior Technician 12443 Lewis Street, #201, Garden Grove, CA 92840 2019-07-12
1376005934 Sekboppa Sor Nurse Practitioner An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 2019-04-03
1346730116 Vinh Le Tran Pharmacist 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 2018-05-16
1841715232 Scott R. Blair Physician Assistant 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 2017-08-07
1881049492 Carmen Keally Dietitian, Registered 12602 9th St, Garden Grove, CA 92840 2016-05-02
1548688732 House Call Medical Associates, Inc. Internal Medicine 12865 Main St Ste 105, Garden Grove, CA 92840 2014-04-03
1851733059 Carly Ann Wade Marriage & Family Therapist 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 2013-07-29
1003159864 Priyal Shah Ohri Dentist 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 2013-03-30
1770853244 Joseph Pham Pharmacist 12001 Euclid St., Garden Grove, CA 92840 2011-12-30
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184770406 Derrick George Sueki Physical Therapist 13341 Garden Grove Blvd Ste B, Garden Grove, CA 92843-2255 2007-01-27
1457756520 Anat Weingarten Physical Therapist 13341 Garden Grove Blvd, Garden Grove, CA 92843-2255 2014-10-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568063311 Kayla Utley Physical Therapist 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 2020-11-06
1184225054 Vuk Ekmecic Physical Therapist 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 2020-11-05
1932700283 Christopher Lui Physical Therapist 21621 E Bluebell Ct, Walnut, CA 91789-1443 2020-11-03
1952900789 Sierra Speck Physical Therapist 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 2020-10-22
1992312086 Heidi Lynne Anders Physical Therapist 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 2020-09-23
1578176780 Patricia Isabella Commer Physical Therapist 4146 Randolph Ave, Oakland, CA 94602-1314 2020-08-26
1376151126 Yifu Zhou Physical Therapist 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 2020-07-17
1033732250 Sync Physical Therapy & Yoga Inc Physical Therapist 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 2020-05-21
1043830961 Dr. Holly Physical Therapy Physical Therapist 4500 Shepard St, Bakersfield, CA 93313-2326 2020-04-21
1861011744 Lauren Jarmusz Physical Therapist 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 2020-04-10
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Competitor

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City GARDEN GROVE
Zip Code 92840

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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