Active NPI
Bryan Baker, DPT
- Physical Therapist
- Washington, DC
National Provider Identifier
1285181792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT210002137
- Practice address
- 1120 20TH St NW Ste 116
Washington, DC 20036-3406 - Phone
- (202) 416-2110
- Fax
- (202) 416-2011
- NPI assigned
- Sep 1, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT210002137 | DC | Primary |
| Physical Therapist | 225100000X | 1347405 | TX | |
| Physical Therapist | 225100000X | PTL22588 | MA | |
| Physical Therapist | 225100000X | 11503 | CT |
Addresses
Primary practice location
1120 20TH St NW Ste 116
Washington, DC 20036-3406
Mailing address
1120 20TH St NW Ste 116
Washington, DC 20036-3406
Phone (202) 416-2110
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11503 | CT | MD | General Practice Dentistry |
| PT210002137 | DC | MD | Physical Therapist |
| PTL22588 | MA | MD | Physical Therapist |
| 1347405 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Services, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Vernon, CT
- NPI 1104867951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1285181792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 20TH ST NW STE 116",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200363406",
"telephone_number": "202-416-2110",
"fax_number": "202-416-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 20TH ST NW STE 116",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200363406",
"telephone_number": "202-416-2110",
"fax_number": "202-416-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "BRYAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT210002137",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1347405",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL22588",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "11503",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.