Healthcare Provider Details

I. General information

NPI: 1295643740
Provider Name (Legal Business Name): BAER DEN PHYSICAL THERAPY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2638 CORTE DE FLORES
SAN MATEO CA
94403-2350
US

IV. Provider business mailing address

2638 CORTE DE FLORES
SAN MATEO CA
94403-2350
US

V. Phone/Fax

Practice location:
  • Phone: 650-787-3243
  • Fax:
Mailing address:
  • Phone: 650-787-3243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JULIAN BAER
Title or Position: PHYSICAL THERAPIST
Credential: DPT, PT
Phone: 650-787-3243