Active NPI
Mike Baker, PT, MBA
- Physical Therapist
- Orlando, FL
National Provider Identifier
1215158258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8657
- Practice address
- 100 W. Gore Street Suite 301
Orlando, FL 32806 - Phone
- (407) 481-8861
- NPI assigned
- May 1, 2007
- Sex
- Male
- 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 | 8657 | FL | Primary |
Addresses
Primary practice location
100 W. Gore Street Suite 301
Orlando, FL 32806
Mailing address
6516 Moonshell Court
Orlando, FL 32819
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
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8657 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215158258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6516 MOONSHELL COURT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W. GORE STREET SUITE 301",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32806",
"telephone_number": "407-481-8861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MIKE",
"credential": "PT, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "8657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.