Individual provider Active NPI

Tosha Marie Baker, COTA/L

  • Physical Disabilities Residential Treatment Facility
  • Bonita Springs, FL
National Provider Identifier
1083907984
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
OTA10267 Issued in FL
Practice address
26850 S Bay Dr
Bonita Springs, FL 34134-4379
Phone
(239) 948-2600
NPI assigned
May 25, 2011
Last updated
May 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X OTA10267 FL Primary

Addresses

Primary practice location

26850 S Bay Dr
Bonita Springs, FL 34134-4379

Mailing address

10101 Maddox LN
E 102
Bonita Springs, FL 34135-7641
Phone (618) 925-6092

Other names 1

  • Tosha Marie Dunlap Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA10267FLMDPhysical Disabilities Residential Treatment Facility

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1083907984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 MADDOX LN",
            "address_2": "E 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357641",
            "telephone_number": "618-925-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 S BAY DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344379",
            "telephone_number": "239-948-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TOSHA",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "FL",
            "license": "OTA10267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOSHA",
            "last_name": "DUNLAP",
            "middle_name": "MARIE",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.