Individual provider Active NPI

Thomas M Baker

  • Chiropractor
  • Scotrun, PA
National Provider Identifier
1295847127
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009176 Issued in PA
Practice address
2551 PA-611
Scotrun, PA 18355
Phone
(570) 629-9507
NPI assigned
Aug 31, 2006
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009176 PA Primary

Addresses

Primary practice location

2551 PA-611
Scotrun, PA 18355

Mailing address

1623 Route 507
Greentown, PA 18426-4501
Phone (570) 676-5660

Other practice location 1

1623 Route 507
Greentown, PA 18426-4501
Phone (570) 676-5660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220410000005 FL Practitioner - Chiropractic 4880669647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

808 E Venice Ave
Venice, FL 34285-7039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009176PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Health and Rehab of Punta Gorda CurrentSince Nov 15, 2022 Accepting new patients
Twin Palms Chiropractic Health Center Inc Chiropractor CurrentSince Dec 1, 2025 Accepting new patients
Laubach Family Chiropractic LLC Chiropractor CurrentSince Sep 1, 2018 Accepting new patients

Locations

2905 Tamiami Trl
Punta Gorda, FL 33950
Phone (941) 205-2180

324 Cross St
Punta Gorda, FL 33950
Phone (941) 205-2180

808 E Venice Ave
Venice, FL 34285
Phone (941) 412-3800

2369 Route 715
Tannersville, PA 18372
Phone (570) 629-9507

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1295847127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 ROUTE 507",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184264501",
            "telephone_number": "570-676-5660",
            "fax_number": "570-676-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 PA-611",
            "city": "SCOTRUN",
            "state": "PA",
            "postal_code": "18355",
            "telephone_number": "570-629-9507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1623 Route 507",
            "address_purpose": "LOCATION",
            "city": "Greentown",
            "state": "PA",
            "postal_code": "184264501",
            "country_code": "US",
            "telephone_number": "570-676-5660",
            "fax_number": "570-676-0457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotrun, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.