Individual provider Active NPI

Amy Nicole Baker, DPT

  • Physical Therapist
  • Grinnell, IA
National Provider Identifier
1265619639
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004152 Issued in IA
Practice address
234 West St S
Southview Plaza Suite #4
Grinnell, IA 50112-8160
Phone
(641) 236-4506
Fax
(641) 236-4316
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004152 IA Primary

Addresses

Primary practice location

234 West St S
Southview Plaza Suite #4
Grinnell, IA 50112-8160

Mailing address

234 West St S
Southview Plaza Suite #4
Grinnell, IA 50112-8160
Phone (641) 236-4506

Other identifiers 2

IdentifierTypeStateIssuer
0461624MedicaidIA
71749OtherIABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080401000260 IA Practitioner - Physical Therapist in Private Practice 7517043599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Rehab-Orthopedic and Sports Specialist, P.C. 13 clinicians

Practice addresses (Care Compare)

234 W St S
Unit 4
Grinnell, IA 50112-8160
Phone (641) 236-4506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004152IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab PT Ia PLLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Total Rehab-Orthopedic & Sports Specialists, P.C. CurrentSince Jan 28, 2008 Accepting new patients
Total Rehab-Orthopedic and Sports Specialist, P.C. Physical Therapist CurrentSince Jan 28, 2008 Accepting new patients

Locations

234 West St S
Unit 4
Grinnell, IA 50112
Phone (641) 236-4506

507 Court St
Williamsburg, IA 52361
Phone (319) 668-9453

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1265619639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WEST ST S",
            "address_2": "SOUTHVIEW PLAZA SUITE #4",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501128160",
            "telephone_number": "641-236-4506",
            "fax_number": "641-236-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WEST ST S",
            "address_2": "SOUTHVIEW PLAZA SUITE #4",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501128160",
            "telephone_number": "641-236-4506",
            "fax_number": "641-236-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461624",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "71749",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.