Kyle Andre Julio Baker, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT1343 Issued in DC

Practice address

11239 Peartree Way
Apt. I
Columbia, MD 21044-4342

Phone

(443) 253-6383

Fax

(443) 864-4633

NPI assigned

Jan 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1144590217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11239 PEARTREE WAY",
            "address_2": "APT. I",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444342",
            "telephone_number": "443-253-6383",
            "fax_number": "443-864-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11239 PEARTREE WAY",
            "address_2": "APT. I",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444342",
            "telephone_number": "443-253-6383",
            "fax_number": "443-864-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KYLE",
        "middle_name": "ANDRE JULIO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DC",
            "license": "MT1343",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "R01515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVENTIST RISK MGMT, INC.",
            "identifier": "02109549",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Bajaj, MD
• Christian Bakare
• Awa Ngafla Bakayoko, MD
• Alexis Anne Baker, BCBA, LBA
• Felecia Baker, ACUPUNCTURIST
• Leah Elizabeth Baker
• Margaret Grauel Baker, BSN, RN, CAPA
• Payton Mackenzie Baker
• Sean Alexander Baker
• Taylor Norene Baker, MS

• Massage Therapist in Columbia, MD
• Providers in Columbia, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.