Stephanie Ann Baker, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTP-OT-LIC-3957 Issued in MT

Practice address

3620 American Way
Missoula, MT 59808-1379

Phone

(509) 885-8798

NPI assigned

Jul 19, 2020

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

Other names 1

• Stephanie Ann Dimke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1595116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1245848936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROCK CREEK RD",
            "city": "CLINTON",
            "state": "MT",
            "postal_code": "598259624",
            "telephone_number": "509-885-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 AMERICAN WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081379",
            "telephone_number": "509-885-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-19",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-3957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DIMKE",
            "middle_name": "ANN",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandi Baker
• Carole Martha Baker, M.S., LICENSED MFT
• Jennifer Marie Baker, PHARMD
• Jerusha Baker, LMT
• Kathleen Marie Hughes Baker, D.P.T.
• Theresa Murray Baker, OTR/L
• Lisa M Bakker, DPT
• Balancing Minds, PLLC
• Teresa Baldridge, MD
• Deette Balfourd, CPCP

• Occupational Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.