NATHANIEL THOMAS BALDWIN DPT
NPI 1164307153
Physical Therapist in Warren, RI

Active since August 08, 2025Accepts Medicare Assignment
426 METACOM AVE, WARREN, RI 02885(401) 903-2167(401) 903-4976 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 26, 2025, Aug 8, 2025 (2 updates tracked since 2025).

About Nathaniel Thomas Baldwin Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANIEL THOMAS BALDWIN DPT (NPI 1164307153) is an individual physical therapist in Warren, Rhode Island, licensed in Rhode Island (PT04019) and active in the NPI registry since August 2025. He maintains a secondary practice location in Middletown and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164307153
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNATHANIEL THOMAS BALDWINCredential: DPT
Location Address426 METACOM AVEWarren, RI 02885-2711
Mailing Address4 Richmond SqProvidence, RI 02906-5117 · (401) 433-4172 · Fax (401) 433-0612
Fax(401) 903-4976
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 8, 2025
Last NPPES UpdateDecember 26, 20252 updates tracked since enumeration
NPPES CertifiedDecember 26, 2025
✔ NPI 1164307153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in RI · PT04019
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
426 METACOM AVE, Warren, RI 02885

Secondary Practice Location 1

Location 11181 Aquidneck AveMiddletown, RI 02842-5255 · Phone (401) 845-0840 · Fax (401) 845-0842

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathaniel Thomas Baldwin Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274033972
PECOS Enrollment IDI20250826004019

Medicare Billing Reassignments

2

Medicare enrollment records show Nathaniel Baldwin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
4 RICHMOND SQ
Providence, RI 02906
  • Reassigned Medicare billing, Rhode Island enrollment
  • 174 clinicians in this Medicare group
Physical Therapy
1539 ATWOOD AVE STE 202
Johnston, RI 02919
  • Reassigned Medicare billing, Rhode Island enrollment
  • 100 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02885 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
426 METACOM AVE
WARREN, RI 02885
Physical Therapist
426 METACOM AVE
WARREN, RI 02885
Physical Therapist
426 METACOM AVE
WARREN, RI 02885
Physical Therapist
426 METACOM AVE
WARREN, RI 02885
Physical Therapist
426 METACOM AVE
WARREN, RI 02885
Physical Therapist
426 METACOM AVE
WARREN, RI 02885
Physical Therapist
426 METACOM AVE
WARREN, RI 02885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathaniel Baldwin's NPI number?

The NPI number for Nathaniel Baldwin is 1164307153. It was assigned to this individual provider in the NPPES registry on August 8, 2025.

Where is Nathaniel Baldwin located?

Nathaniel Baldwin practices at 426 Metacom Ave, Warren, RI 02885. The listed phone number is (401) 903-2167.

What is Nathaniel Baldwin's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nathaniel Baldwin enrolled in Medicare?

Yes. Nathaniel Baldwin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nathaniel Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Baldwin reassigns Medicare benefits to 2 organizations: Silver Fern Practice, LLC (Providence, RI) and Pappas Physical Therapy LLC (Johnston, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathaniel Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathaniel Baldwin was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.