Elysa Baker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605593 Issued in VA

Practice address

115 Jefferson Hwy Ste 102
Louisa, VA 23093-6563

Phone

(540) 967-1757

Fax

(540) 967-1757

NPI assigned

Feb 8, 2021

Last updated

Feb 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1386236701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JEFFERSON HWY STE 102",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230936563",
            "telephone_number": "540-967-1757",
            "fax_number": "540-967-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 JEFFERSON HWY STE 102",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230936563",
            "telephone_number": "540-967-1757",
            "fax_number": "540-967-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ELYSA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Badri Mohammed Abdi, PHARMD
• John Andre
• Adrian Webb Bakker, PHARMD
• Rebecca Bala
• Kathleen C Barcia, MD
• Gladys Darilynn Barlow
• Elaine Barnes, SLP

• Physical Therapy Assistant in Louisa, VA
• Providers in Louisa, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.