MEDICARE: JONATHAN BAIK DPT

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	2251P0200X	Pediatric Physical Therapist	PT42678	CA

General Provider Information

NPI Number	:	1851760508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN BAIK DPT

Provider Business Mailing Address
First Line	:	11205 KNOTT AVE STE E
Second Line	:
City	:	CYPRESS
State	:	CA
Zip	:	90630-5489
Country	:	US
Telephone Number	:	714-893-7399
Fax Number	:	714-893-7389

Provider Business Practice Location Address
First Line	:	11205 KNOTT AVE
Second Line	:	SUITE E
City	:	CYPRESS
State	:	CA
Zip	:	90630-5489
Country	:	US
Telephone Number	:	714-893-7399
Fax Number	:	714-893-7389

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

Provider Enumeration Date	:	09/23/2015
Last Update Date	:	03/17/2026

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Directions to “ JONATHAN BAIK DPT” Practice Location

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