Timothy Baker

Individual provider Active NPI Physical Therapy Assistant · East Stroudsburg, PA

NPI 1093674699 · NPPES record last updated Jan 19, 2026

Key facts

NPI
1093674699
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TEI005175 (PA)
Practice address
66 S Courtland St
East Stroudsburg, PA 18301-2806
Phone
(570) 420-0606
NPI assigned
Jan 19, 2026
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TEI005175PAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI005175 PA Yes

Addresses

Primary practice location

66 S Courtland St
East Stroudsburg, PA 18301-2806

Mailing address

1544 Brislin Rd
Stroudsburg, PA 18360-7688

Other providers in East Stroudsburg, PA

All providers in East Stroudsburg, PA · Physical Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.