Active NPI
Alexis Baker, MT-BC
- Music Therapist
- Lake Oswego, OR
National Provider Identifier
1295158558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Practice address
- 15422 Bangy Rd Apt 10
Lake Oswego, OR 97035-3127 - Phone
- (360) 610-9500
- NPI assigned
- Jan 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | MT-T-10174270 | OR | |
| Music Therapist | 225A00000X | OR | Primary |
Addresses
Primary practice location
15422 Bangy Rd Apt 10
Lake Oswego, OR 97035-3127
Mailing address
3630 Kenthorpe Way
West Linn, OR 97068-2101
Phone (360) 610-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225A00000X | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | bridgetownmt.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-T-10174270 | OR | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1295158558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 KENTHORPE WAY",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970682101",
"telephone_number": "360-610-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15422 BANGY RD APT 10",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353127",
"telephone_number": "360-610-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ALEXIS",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-22",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "OR",
"license": "MT-T-10174270",
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225A00000X",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "bridgetownmt.com",
"affiliation": "N",
"endpointDescription": "URL address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Mail",
"address_1": "15422 Bangy Rd Apt 10",
"city": "Lake Oswego",
"state": "OR",
"country_code": "US",
"postal_code": "970353127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.