Active NPI
Kevin E. Baker, DPT
- Orthopedic Physical Therapist
- Fort Leonard Wood, MO
National Provider Identifier
1447567474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 05001080A
- Practice address
- 126 Missouri
General Leonard Wood Army Hospital
Fort Leonard Wood, MO 65473 - Phone
- (573) 596-1707
- NPI assigned
- Sep 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 05001080A | IN | Primary |
Addresses
Primary practice location
126 Missouri
General Leonard Wood Army Hospital
Fort Leonard Wood, MO 65473
Mailing address
126 Missouri Ave
Fort Leonard Wood, MO 65473-8952
Phone (573) 596-1707
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 |
|---|---|---|---|
| 05001080A | IN | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1447567474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 MISSOURI AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654738952",
"telephone_number": "573-596-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 MISSOURI",
"address_2": "GENERAL LEONARD WOOD ARMY HOSPITAL",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "65473",
"telephone_number": "573-596-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "KEVIN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-13",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IN",
"license": "05001080A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.