Active NPI
Elizabeth W Baird, PT
- Physical Therapist
- Kennesaw, GA
National Provider Identifier
1184336166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT004117
- Practice address
- 4881 Gresham Ridge Dr NE
Kennesaw, GA 30144-5331 - Phone
- (607) 760-1851
- NPI assigned
- Dec 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004117 | GA | Primary |
Addresses
Primary practice location
4881 Gresham Ridge Dr NE
Kennesaw, GA 30144-5331
Mailing address
121 Neese Farm Dr
Woodstock, GA 30188-1404
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": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1184336166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 NEESE FARM DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301881404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 GRESHAM RIDGE DR NE",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301445331",
"telephone_number": "607-760-1851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIRD",
"first_name": "ELIZABETH",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT004117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.