Active NPI
Tamara L Baker, RPT
- Physical Therapist
- Bellevue, WA
National Provider Identifier
1497896005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003899
- Practice address
- 10001 NE 1St St Apt W313
Bellevue, WA 98004-5670 - Phone
- (425) 890-3989
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00003899 | WA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | PT0003899 | WA |
Addresses
Primary practice location
10001 NE 1St St Apt W313
Bellevue, WA 98004-5670
Mailing address
1100 Bellevue Way NE Ste 8A856
Bellevue, WA 98004-4280
Phone (425) 890-3989
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GO1291 | Other | WA | BLUE SHIELD |
| 000 | Other | NONE | |
| 68303 | Other | WA | LABOR AND INDUSTRIES |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT0003899 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1497896005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 BELLEVUE WAY NE STE 8A856",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044280",
"telephone_number": "425-890-3989",
"fax_number": "425-881-2312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 NE 1ST ST APT W313",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045670",
"telephone_number": "425-890-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "TAMARA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003899",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT0003899",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "GO1291",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "68303",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.