Kevin Baker, PHYSCIAL THERAPIST

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

269113 Issued in ME

Practice address

55 Baxter Blvd
Portland, ME 04101-1801

Phone

(207) 773-7428

Fax

(207) 842-6229

NPI assigned

Jul 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of New England, College of Osteo Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Falmouth Physical Therapy AssocGroup PAC ID 9739180878, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Falmouth Physical Therapy Assoc

  dba Falmouth Physical Therapy

  • Physical Therapist
  • Falmouth, ME
  • NPI 1760444996
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164620639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BAXTER BLVD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011801",
            "telephone_number": "207-773-7428",
            "fax_number": "207-842-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BAXTER BLVD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011801",
            "telephone_number": "207-773-7428",
            "fax_number": "207-842-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KEVIN",
        "credential": "PHYSCIAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ME",
            "license": "269113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "061426",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Baird, M.D.
• Stephanie Baird, AC OT
• Amelia J Baker, RDN, CDCES
• Caroline A Baker, ANP
• Frederick C Baker III, MD
• Mairead Rebecca Baker
• Matthew Joseph Baker, LMT
• Meredith Baker
• Nicholas Ryan Baker
• Sean Christopher Baker, DNP

• Physical Medicine & Rehabilitation Physician in Portland, ME
• Providers in Portland, ME by specialty
• Physical Medicine & Rehabilitation Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.