Laken Nicolle Baldwin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4364 Issued in AR

Practice address

1703 West Main Street Suite a
Russellville, AR 72801-7280

Phone

(479) 970-2008

NPI assigned

Sep 15, 2017

Last updated

Aug 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russellville Physical Therapy IncGroup PAC ID 1153797683, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Russellville Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Russellville, AR
  • NPI 1831817378

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1083133532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728110671",
            "telephone_number": "479-970-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 WEST MAIN STREET SUITE A",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728017280",
            "telephone_number": "479-970-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "LAKEN",
        "middle_name": "NICOLLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laken@russellvillept.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1703 West Main Street Suite A",
            "city": "Russellville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "728017280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana E Baker, PT, DPT
• Dustin Baker, RECOVERY ASSISTANT
• James Baker, RECOVERY ASSISTANT
• Kathleen Baker, LPN
• Sandra Lynn Baker, MS OTR/L
• Forrest Garnett Bale, DDS
• Angela Balentine
• Linda Jo Bankston, LCSW, LADAC, AADC
• Baptist Health (Baptist Health Family Clinic - Russellville)
• Leigh Merritt Barborek, DPT

• Physical Therapist in Russellville, AR
• Providers in Russellville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.