MEDICARE: MATTHEW BAIRD

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	2305209801	VA
2	225100000X	Physical Therapist	PT871891	DC
3	225100000X	Physical Therapist	PT38683	FL

General Provider Information

NPI Number	:	1275907057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW BAIRD

Provider Business Mailing Address
First Line	:	1555 S FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2686
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 S FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2686
Country	:	US
Telephone Number	:	954-462-6005
Fax Number	:	954-462-3002

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

Provider Enumeration Date	:	11/17/2015
Last Update Date	:	12/10/2024

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Directions to “ MATTHEW BAIRD ” Practice Location

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