Active NPI
Andrea Michelle Baker, P.T., ATC, COF
- Physical Therapist
- Spokane, WA
National Provider Identifier
1104885664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00006501
- Practice address
- 511 S Pine Street
Suite a
Spokane, WA 99202-1347 - Phone
- (509) 325-9144
- Fax
- (509) 325-0422
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00006501 | WA | Primary |
Addresses
Primary practice location
511 S Pine Street
Suite a
Spokane, WA 99202-1347
Mailing address
PO Box 9879
Spokane, WA 99209-9879
Phone (509) 325-9144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130968 | Other | WA | LABOR & INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 E Pacific Ave
Spokane, WA 99202-1434
Phone (509) 325-9144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00006501 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Bracing, Inc | Current | Accepting new patients | |
| Apex Physical Therapy PLLC | Physical Therapist | Past | Accepting new patients |
Locations
405 E Pacific Ave
Spokane, WA 99202
Phone (509) 325-9144
511 S Pine St
Ste A
Spokane, WA 99202
Phone (509) 325-9144
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Spokane, WA
- NPI 1023008505
-
- Physical Therapist
- Spokane, WA
- NPI 1538128442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1104885664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9879",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992099879",
"telephone_number": "509-325-9144",
"fax_number": "509-325-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 S PINE STREET",
"address_2": "SUITE A",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021347",
"telephone_number": "509-325-9144",
"fax_number": "509-325-0422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ANDREA",
"middle_name": "MICHELLE",
"credential": "P.T., ATC, COF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00006501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "130968",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.