Jeremy Baker

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0012979 Issued in CO

Practice address

441 Wadsworth Blvd Ste 105a
Lakewood, CO 80226-1545

Phone

(720) 670-6888

NPI assigned

Apr 29, 2015

Last updated

Apr 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1053798058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12865 W ALAMEDA DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282826",
            "telephone_number": "720-670-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 WADSWORTH BLVD STE 105A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261545",
            "telephone_number": "720-670-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0012979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENCE",
            "identifier": "MT.0012979",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Rae Baker-Squier, BS, MA
• Alyssa Joy Baker, OTR/L
• Betty Sue Baker, PMHCNS-BC, APN-CNS
• Christine Baker, RN
• Geneva Clardy Baker, DPT
• Rita M. Baker, PH.D.
• Robin Ronald Baker, LISW
• David Richard Bakulski
• Bruce Gordon Baldwin, DDS
• Nicole T Balinski

• Massage Therapist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.