Active NPI
Kelly Ann Baker, DPT
- Physical Therapist
- Dublin, OH
National Provider Identifier
1124253596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017329
- Practice address
- 5100 Bradenton Ave Ste D
Dublin, OH 43017 - Phone
- (614) 799-0601
- Fax
- (614) 799-0667
- NPI assigned
- May 28, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070019626 | IL | |
| Physical Therapist | 225100000X | 05009941A | IN | |
| Physical Therapist | 225100000X | PT017329 | OH | Primary |
Addresses
Primary practice location
5100 Bradenton Ave Ste D
Dublin, OH 43017
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other practice location 1
925 Meacham Rd
Elk Grove Village, IL 60007-3672
Phone (847) 923-6858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201055560 | Medicaid | IN |
Other names 1
- Kelly Ann Horvath
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009941A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1124253596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 BRADENTON AVE STE D",
"city": "DUBLIN",
"state": "OH",
"postal_code": "43017",
"telephone_number": "614-799-0601",
"fax_number": "614-799-0667"
}
],
"practiceLocations": [
{
"address_1": "925 Meacham Rd",
"address_purpose": "LOCATION",
"city": "Elk Grove Village",
"state": "IL",
"postal_code": "600073672",
"country_code": "US",
"telephone_number": "847-923-6858",
"fax_number": "847-923-6859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "KELLY",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070019626",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009941A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT017329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201055560",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "HORVATH",
"middle_name": "ANN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.