Active NPI
Susan Lynn Baker, B.S., PTA, OTR
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1194836072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31001142A
- Practice address
- 4740 Kingsway Dr
Indianapolis, IN 46205-1521 - Phone
- (317) 466-2001
- NPI assigned
- Aug 31, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 310011424A | IN | |
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | 31001142A | IN | Primary |
Addresses
Primary practice location
4740 Kingsway Dr
Indianapolis, IN 46205-1521
Mailing address
4740 Kingsway Dr
Indianapolis, IN 46205-1521
Phone (317) 466-2001
Other practice location 1
4422 E State Blvd
Fort Wayne, IN 46815-6917
Phone (260) 471-9263
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sbaker@eastersealscrossroads.org |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310011424A | IN | MD | Occupational Therapist |
| 31001142A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- NPI 1891820668
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1194836072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 KINGSWAY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051521",
"telephone_number": "317-466-2001",
"fax_number": "317-466-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 KINGSWAY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462051521",
"telephone_number": "317-466-2001"
}
],
"practiceLocations": [
{
"address_1": "4422 E State Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468156917",
"country_code": "US",
"telephone_number": "260-471-9263",
"fax_number": "765-450-6664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "SUSAN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "B.S., PTA, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "310011424A",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31001142A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sbaker@eastersealscrossroads.org",
"affiliation": "N",
"address_1": "4740 Kingsway Dr",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462051521",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.