Jeff Baker, P.T.
Individual provider Active NPI Physical Therapist · Moodus, CT
NPI 1134529324 · NPPES record last updated Aug 26, 2014
Key facts
- NPI
- 1134529324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 006230 (CT)
- Practice address
- 534 Town St
Moodus, CT 06469-1101 - Phone
- (860) 873-6547
- NPI assigned
- Aug 26, 2014
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 006230 | CT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006230 | CT | Yes |
Addresses
Primary practice location
534 Town St
Moodus, CT 06469-1101
Mailing address
534 Town St
Moodus, CT 06469-1101
Phone (860) 873-6547
Other providers in Moodus, CT
- Elizabeth Almquist
- Terri Augustine
- Maria Cicero Barber
- Elyse Laurie Barker
- Tanisha Bergeron
- Bridges Counseling and Wellness PLLC
- Katrina Casey
All providers in Moodus, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.