Caleb Bake

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9071866 Issued in ID

Practice address

3830 Woodking Dr
Idaho Falls, ID 83404-4736

Phone

(208) 529-8393

NPI assigned

May 16, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kylin Kovac DPM PLLCGroup PAC ID 4284873480, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kylin Kovac DPM PLLC

  • Foot & Ankle Surgery Podiatrist
  • Idaho Falls, ID
  • NPI 1023451598

  ID

  Medicare reassignment Care Compare group NPD
• Kylin Kovac DPM PLLC

  • Podiatrist
  • Rexburg, ID
  • NPI 1871103499
  NPD

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1225829245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 WOODKING DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 WOODKING DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044736",
            "telephone_number": "208-529-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKE",
        "first_name": "CALEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "9071866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Earl Bailey, DPT
• Karen Bailey, LCSW
• Diane K Baird, OTR
• Eric G Baird, M.D.
• Shannielle Louise Baird, NP-C
• Baker Pediatric Dentistry, PLLC
• Ashley Baker, PA
• Austin Baker, DO
• Brad Baker, PHD
• Bryan Baker, D.O.

• All providers in Idaho Falls, ID
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.

Verify at the official NPI Registry.