Active NPI
Michelle Baker, PT
- Physical Therapist
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-08757
- Practice address
- 4515 22ND St NW
Canton, OH 44708-1573 - Phone
- (877) 927-4841
- NPI assigned
- Jun 10, 2021
- Last updated
- Jun 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | PT-08757 | OH | Primary |
Addresses
Primary practice location
4515 22ND St NW
Canton, OH 44708-1573
Mailing address
7390 Emerald Glen Ave NW
Canal Fulton, OH 44614-8246
Phone (330) 495-7712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, VA, NC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aegis Group Practice LLC
Practice addresses (Care Compare)
3113 Charles B Root Wynd
Raleigh, NC 27612-5379
Phone (800) 444-6845
4515 22ND St NW
Canton, OH 44708-1573
Phone (330) 406-7504
5417 Wesleyan Dr
Virginia Beach, VA 23455-6922
Phone (800) 444-6845
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-08757 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
3113 Charles B Root Wynd
Raleigh, NC 27612
501 Chardon Windsor Rd
Chardon, OH 44024
Phone (440) 286-2277
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1205404837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7390 EMERALD GLEN AVE NW",
"city": "CANAL FULTON",
"state": "OH",
"postal_code": "446148246",
"telephone_number": "330-495-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 22ND ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447081573",
"telephone_number": "877-927-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT-08757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.