Individual
MRS. THERESA M BARON
Active
Individual
MRS. THERESA M BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-016793
IL
225100000X
Physical Therapist
Primary
2581001
ID
225100000X
Physical Therapist
4433-024
WI
2255A2300X
Athletic Trainer
62-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080070
MEDICARE GROUP NUMBER
WI
05
—
1861475220
—
ID
01
—
P00248075
RAILROAD MEDICARE
WI
01
—
P00920594
MEDICARE RAILROAD
IL
Enumeration date
11/21/2005
Last updated
06/03/2026
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