DR. ANTHONY NICHOLAS BALDACHINO DPT
NPI 1265173611
Physical Therapist in Lakewood, NJ

Active since April 07, 2022Accepts Medicare Assignment
600 RIVER AVE, LAKEWOOD, NJ 08701(732) 570-3585 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Anthony Nicholas Baldachino Dpt NPPES

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

DR. ANTHONY NICHOLAS BALDACHINO DPT (NPI 1265173611) is an individual physical therapist in Lakewood, New Jersey, licensed in New Jersey (40QA02041700) and active in the NPI registry since April 2022. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1265173611
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. ANTHONY NICHOLAS BALDACHINOCredential: DPT
Location Address600 RIVER AVELakewood, NJ 08701-5237
Mailing Address35 Robbins RdMillstone Township, NJ 08510-1715
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 7, 2022
NPPES CertifiedApril 7, 2022
✔ NPI 1265173611 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 NJ · 40QA02041700
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.
600 RIVER AVE, Lakewood, NJ 08701

Other Identifiers 1

MedicaidYHZ72179500NJ

Accepted Insurance

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

Dr. Anthony Nicholas Baldachino 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 ID9638545163
PECOS Enrollment IDI20221025000035

Medicare Billing Reassignment

Medicare enrollment records show Anthony Baldachino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
301 PROFESSIONAL VIEW DR
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 32 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
2,312 services67 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,516 services63 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
43 services41 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 20

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

Internal Medicine (Cardiovascular Disease)
600 RIVER AVE
LAKEWOOD, NJ 08701
Pediatrics
600 RIVER AVE
LAKEWOOD, NJ 08701
Nurse Practitioner (Family)
600 RIVER AVE
LAKEWOOD, NJ 08701
Emergency Medicine
600 RIVER AVE, KIMBALL MEDICAL CENTER
LAKEWOOD, NJ 08701
Emergency Medicine
600 RIVER AVE, KIMBALL MEDICAL CENTER
LAKEWOOD, NJ 08701
Nurse Practitioner
600 RIVER AVE
LAKEWOOD, NJ 08701
Nurse Practitioner (Family)
600 RIVER AVE
LAKEWOOD, NJ 08701
Nurse Practitioner (Family)
600 RIVER AVE
LAKEWOOD, NJ 08701

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 Anthony Baldachino's NPI number?

The NPI number for Anthony Baldachino is 1265173611. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Anthony Baldachino located?

Anthony Baldachino practices at 600 River Ave, Lakewood, NJ 08701. The listed phone number is (732) 570-3585.

What is Anthony Baldachino's specialty?

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

Is Anthony Baldachino enrolled in Medicare?

Yes. Anthony Baldachino 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 organization bills Medicare for Anthony Baldachino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Baldachino reassigns Medicare benefits to Advanced Orthopedic And Sports Medicine Institute PC (Freehold, NJ). The 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 Anthony Baldachino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Baldachino accept?

Health plans from Oscar Health list Anthony Baldachino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Baldachino was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.