Thomas William Baker, PT, DPT
Individual provider Active NPI Physical Therapist · Jber, AK
NPI 1467070664 · NPPES record last updated Oct 4, 2024
Key facts
- NPI
- 1467070664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12696 (CT)
- Practice address
- 5955 Zeamer Ave
Jber, AK 99506-3702 - Phone
- (907) 580-1701
- NPI assigned
- Jul 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12696 | CT | Yes |
Addresses
Primary practice location
5955 Zeamer Ave
Jber, AK 99506-3702
Mailing address
5955 Zeamer Ave
Jber, AK 99506-3702
Other providers in Jber, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.