Individual provider Active NPI

Brooke Corine Baker, PT, DPT

  • Physical Therapist
  • Canyon Lake, TX
National Provider Identifier
1124789433
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
PO Box 1293
Canyon Lake, TX 78133-0001
Phone
(830) 717-9390
NPI assigned
Jan 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

PO Box 1293
Canyon Lake, TX 78133-0001

Mailing address

PO Box 1293
Canyon Lake, TX 78133-0001
Phone (830) 717-9390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914002814 TX Practitioner - Physical Therapist in Private Practice 9537523196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pelvic Harmony Physical Therapy LLC CurrentSince Oct 20, 2024 Accepting new patients
Origin Physical Therapy FL PLLC Physical Therapist CurrentSince Apr 30, 2025 Accepting new patients
VHS San Antonio Partners LLC PastSince Jan 1, 2022 Accepting new patients
VHS San Antonio Partners, LLC PastSince Jan 1, 2022 Accepting new patients

Locations

12411 Hymeadow Dr
Ste 3B
Austin, TX 78750
Phone (512) 250-8497

2712 Bee Caves Rd
Ste 122A
Austin, TX 78746
Phone (737) 234-9618

4950 Terminal St
Ste 100
Bellaire, TX 77401
Phone (832) 307-0894

120 E Basse Rd
Ste 101
San Antonio, TX 78209

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1124789433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1293",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781330001",
            "telephone_number": "830-717-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1293",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781330001",
            "telephone_number": "830-717-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BROOKE",
        "middle_name": "CORINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Lake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.