Active NPI
Judy B Baker, PT
- Physical Therapist
- Kettering, OH
National Provider Identifier
1295801975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 000706
- Practice address
- 3122 Wilmington Pike
Kettering, OH 45429-4004 - Phone
- (937) 299-9337
- Fax
- (937) 299-9227
- NPI assigned
- Nov 27, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 000706 | OH | Primary |
| Cardiopulmonary Physical Therapist | 2251C2600X | PT 000706 | OH | |
| Geriatric Physical Therapist | 2251G0304X | PT 000706 | OH | |
| Human Factors Physical Therapist | 2251H1300X | PT 000706 | OH | |
| Neurology Physical Therapist | 2251N0400X | PT 000706 | OH | |
| Pediatric Physical Therapist | 2251P0200X | PT 000706 | OH | |
| Orthopedic Physical Therapist | 2251X0800X | PT 000706 | OH |
Addresses
Primary practice location
3122 Wilmington Pike
Kettering, OH 45429-4004
Mailing address
3122 Wilmington Pike
Kettering, OH 45429-4004
Phone (937) 299-9337
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 |
|---|---|---|---|
| PT 000706 | OH | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Therapy Associates, Inc. | Past | Accepting new patients | |
| Midwest Therapy Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1679652325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1295801975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3122 WILMINGTON PIKE",
"city": "KETTERING",
"state": "OH",
"postal_code": "454294004",
"telephone_number": "937-299-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3122 WILMINGTON PIKE",
"city": "KETTERING",
"state": "OH",
"postal_code": "454294004",
"telephone_number": "937-299-9337",
"fax_number": "937-299-9227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "JUDY",
"middle_name": "B",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 000706",
"primary": true
},
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "OH",
"license": "PT 000706",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "OH",
"license": "PT 000706",
"primary": false
},
{
"code": "2251H1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Human Factors",
"state": "OH",
"license": "PT 000706",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "OH",
"license": "PT 000706",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "OH",
"license": "PT 000706",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OH",
"license": "PT 000706",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.