Individual provider Active NPI

Joanna Ruth Baker, P.T. LMHC

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1124175484
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13914 Issued in FL
Practice address
4370 S Tamiami TRL
Suite 241
Sarasota, FL 34231-3412
Phone
(941) 926-2474
Fax
(941) 926-2440
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH4720 FL
Physical Therapist 225100000X PT13914 FL Primary

Addresses

Primary practice location

4370 S Tamiami TRL
Suite 241
Sarasota, FL 34231-3412

Mailing address

4370 S Tamiami TRL
Suite 241
Sarasota, FL 34231-3412
Phone (941) 926-2474

Other identifiers 1

IdentifierTypeStateIssuer
833687000OtherFLMAGELLAN

Other names 1

  • Joanna Ruth Baker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126003532 FL Practitioner - Mental Health Counselor 6507850757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH4720FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1124175484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 S TAMIAMI TRL",
            "address_2": "SUITE 241",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313412",
            "telephone_number": "941-926-2474",
            "fax_number": "941-926-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 S TAMIAMI TRL",
            "address_2": "SUITE 241",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313412",
            "telephone_number": "941-926-2474",
            "fax_number": "941-926-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JOANNA",
        "middle_name": "RUTH",
        "credential": "P.T. LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4720",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT13914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "833687000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "BAKER",
            "middle_name": "RUTH",
            "credential": "P.T. LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.