Provider Demographics
NPI:1720104029
Name:BAIO, JOHN ANTHONY (DPT/PT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ANTHONY
Last Name:BAIO
Suffix:
Gender:M
Credentials:DPT/PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1150 PORTION RD
Mailing Address - Street 2:STE
Mailing Address - City:HOLTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11742
Mailing Address - Country:US
Mailing Address - Phone:631-880-7900
Mailing Address - Fax:631-880-7899
Practice Address - Street 1:1150 PORTION RD
Practice Address - Street 2:STE
Practice Address - City:HOLTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11742
Practice Address - Country:US
Practice Address - Phone:631-880-7900
Practice Address - Fax:631-880-7899
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028522-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist