Kerry Comissiong Baker, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501002966 Issued in MI

Practice address

916 Washington Ave
Suite 204
Bay City, MI 48708-5730

Phone

(989) 778-2200

Fax

(989) 778-2201

NPI assigned

Dec 9, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1235673229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 BREAKER COVE DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487088818",
            "telephone_number": "989-631-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WASHINGTON AVE",
            "address_2": "SUITE 204",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085730",
            "telephone_number": "989-778-2200",
            "fax_number": "989-778-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KERRY",
        "middle_name": "COMISSIONG",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patrick Baker
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• Sherry Baker
• Adam Balderas
• Ashley Balhorn, BSW

• Physical Therapist in Bay City, MI
• Providers in Bay City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.