NPIMap

Organization Active NPI

Baker Rehab Agency LLC

Doing business as Baker Rehab Group

  • Rehabilitation Clinic/Center
  • Frederick, MD
National Provider Identifier
1346605474
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
BAKER REHAB AGENCY LLC
Doing business as
Baker Rehab Group
Practice address
197 Thomas Johnson Dr Ste B
Frederick, MD 21702-4314
Phone
(301) 662-1997
NPI assigned
Dec 16, 2015
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Brandon Baker
Title
Business Manager
Phone
(240) 617-0786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Rehabilitation Clinic/Center 261QR0400X MD Primary

Addresses

Primary practice location

197 Thomas Johnson Dr Ste B
Frederick, MD 21702-4314

Mailing address

197 Thomas Johnson Dr
Suite B
Frederick, MD 21702-4314
Phone (301) 662-1997

Other names 1

  • Baker Rehab Group Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

197 Thomas Johnson Dr
Ste B
Frederick, MD 21702
Phone (301) 662-1997

12800 Middlebrook Rd
Ste 100
Germantown, MD 20874
Phone (301) 235-3031

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1346605474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 THOMAS JOHNSON DR",
            "address_2": "SUITE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024314",
            "telephone_number": "301-662-1997",
            "fax_number": "301-668-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 THOMAS JOHNSON DR STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024314",
            "telephone_number": "301-662-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER REHAB AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2022-08-18",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "240-617-0786"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker Rehab Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.