MEDICARE: SYDNEY MARIE ESCOBAR BAUGH PT, DPT, CIDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	6957	NV
2	225100000X	Physical Therapist	2305215223	VA

General Provider Information

NPI Number	:	1104554385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY MARIE ESCOBAR BAUGH PT, DPT, CIDN

Provider Business Mailing Address
First Line	:	36 COLORADO LN
Second Line	:
City	:	FALLON
State	:	NV
Zip	:	89406-2824
Country	:	US
Telephone Number	:	804-205-6561
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 GLENDALE AVE STE 12
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89431
Country	:	US
Telephone Number	:	775-356-8181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2022
Last Update Date	:	03/16/2026

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