Jamie Carol Baxter, MSPT

Key facts

NPI

1154467769

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

004519 (KY)

Practice address

113 Maloney Way
Mt Sterling, KY 40353

Phone

(859) 498-0011

Fax

(859) 498-5001

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Sterling Physical Therapy & Associates PSC Physical Therapist · Mt Sterling, KY · NPI 1275684839
  Medicare reassignment Care Compare group Authorized official KY
• King & Points Physical Therapy and Rehabilitation Services, PSC Physical Therapist · Stanton, KY · NPI 1275541807
  NPD (past) PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

University of Kentucky College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sterling Physical Therapy and Associates PSC (2 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154467769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MALONEY WAY",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "40353",
            "telephone_number": "859-498-0011",
            "fax_number": "859-498-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MALONEY WAY",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "40353",
            "telephone_number": "859-498-0011",
            "fax_number": "859-498-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "JAMIE",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000375791",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Mt Sterling, KY · Physical Therapist in Kentucky