Individual provider Active NPI

Christian Matthew Baker, OTR/L

  • Pediatric Occupational Therapist
  • Holbrook, AZ
National Provider Identifier
1144778952
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
6649 Issued in AZ
Practice address
294 W Carlos Ave
Holbrook, AZ 86025-1846
Phone
(928) 414-1249
NPI assigned
Sep 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 6649 AZ Primary

Addresses

Primary practice location

294 W Carlos Ave
Holbrook, AZ 86025-1846

Mailing address

294 W Carlos Ave
Holbrook, AZ 86025-1846

Other practice location 1

6 County Rd 5101
Concho, AZ 85924
Phone (928) 414-1249

Other names 1

  • Chris Baker Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6649AZMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1144778952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 W CARLOS AVE",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860251846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W CARLOS AVE",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860251846",
            "telephone_number": "928-414-1249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 County Rd 5101",
            "address_purpose": "LOCATION",
            "city": "Concho",
            "state": "AZ",
            "postal_code": "85924",
            "country_code": "US",
            "telephone_number": "928-414-1249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CHRISTIAN",
        "middle_name": "MATTHEW",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "6649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "BAKER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Holbrook, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.