Individual provider Active NPI

Michelina Elizabeth Richardson Baker, PT, DPT

  • Physical Therapist
  • Trinity, FL
National Provider Identifier
1407487325
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34656 Issued in FL
Practice address
10015 Trinity Blvd Ste 102
Trinity, FL 34655-4589
Phone
(727) 203-3760
NPI assigned
Jan 29, 2020
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305213687 VA
Physical Therapist 225100000X 34656 FL Primary

Addresses

Primary practice location

10015 Trinity Blvd Ste 102
Trinity, FL 34655-4589

Mailing address

11321 Mallory Square Dr Apt 304
Tampa, FL 33635-6348

Other names 1

  • Dr. Michelina Elizabeth Richardson Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34656FLMDPhysical Therapist
2305213687VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tarpon Springs Hospital Foundation Inc PastSince Feb 2, 2020 Accepting new patients

Organizations & group practices 1

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": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1407487325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 MALLORY SQUARE DR APT 304",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336356348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 TRINITY BLVD STE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554589",
            "telephone_number": "727-203-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON BAKER",
        "first_name": "MICHELINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213687",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELINA",
            "last_name": "RICHARDSON",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.