Individual provider Active NPI

Gretchen Elizabeth Baker-Bold, MPT

  • Physical Therapist
  • Everett, WA
National Provider Identifier
1174586234
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007077 Issued in WA
Practice address
2320 Rucker Ave Ste 100
Everett, WA 98201-2879
Phone
(425) 268-0412
NPI assigned
Apr 10, 2006
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00007077 WA Primary
Neurology Physical Therapist 2251N0400X PT00007077 WA
Sports Physical Therapist 2251S0007X PT00007077 WA
Orthopedic Physical Therapist 2251X0800X PT00007077 WA

Addresses

Primary practice location

2320 Rucker Ave Ste 100
Everett, WA 98201-2879

Mailing address

214 Alverson Blvd
Everett, WA 98201-1004
Phone (425) 268-0412

Other practice location 1

4220 Hoyt Ave
Everett, WA 98203-2317
Phone (425) 258-5330

Other names 1

  • Betsy 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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1174586234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ALVERSON BLVD",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011004",
            "telephone_number": "425-268-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 RUCKER AVE STE 100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012879",
            "telephone_number": "425-268-0412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Hoyt Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982032317",
            "country_code": "US",
            "telephone_number": "425-258-5330",
            "fax_number": "425-258-6118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER-BOLD",
        "first_name": "GRETCHEN",
        "middle_name": "ELIZABETH",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007077",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "WA",
            "license": "PT00007077",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "WA",
            "license": "PT00007077",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00007077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "BAKER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.