MR. BENJAMIN ROBERT BAUMGARDNER DPT
NPI 1689209322
Physical Therapist in Santa Rosa, CA

Active since March 03, 2020
77.85/100
CMS Quality Rating
5524 MARIT DR, SANTA ROSA, CA 95409(707) 367-8831 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Benjamin Robert Baumgardner Dpt NPPES

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

MR. BENJAMIN ROBERT BAUMGARDNER DPT (NPI 1689209322) is an individual physical therapist in Santa Rosa, California, licensed in California (292519) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1689209322
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. BENJAMIN ROBERT BAUMGARDNERCredential: DPT
Location Address5524 MARIT DRSanta Rosa, CA 95409-3829
Mailing Address34 Mark West Springs Rd Ste 300Santa Rosa, CA 95403-1783 · (707) 367-8831
Sole ProprietorNo
Enumeration DateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1689209322 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
Licenses✔ Licensed in CA · 292519✔ Licensed · 292519
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.
5524 MARIT DR, Santa Rosa, CA 95409

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Benjamin Robert Baumgardner Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.32
Promoting Interoperability100
Improvement Activities40
Cost65.85

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 Benjamin Baumgardner's NPI number?

The NPI number for Benjamin Baumgardner is 1689209322. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Benjamin Baumgardner located?

Benjamin Baumgardner practices at 5524 Marit Dr, Santa Rosa, CA 95409. The listed phone number is (707) 367-8831.

What is Benjamin Baumgardner's specialty?

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

Is Benjamin Baumgardner enrolled in Medicare?

Yes. Benjamin Baumgardner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Baumgardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Baumgardner reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). 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 Benjamin Baumgardner'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 Benjamin Baumgardner was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.