Michael Baker, OTR

Individual provider Active NPI Occupational Therapist · Getzville, NY

NPI 1508053372 · NPPES record last updated Feb 10, 2012

Key facts

NPI
1508053372
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
005465-1 (NY)
Practice address
150 Stahl Rd
Getzville, NY 14068-1231
Phone
(716) 629-3400
Fax
(716) 629-3400
NPI assigned
Sep 26, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
005465-1NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 005465-1 NY Yes

Addresses

Primary practice location

150 Stahl Rd
Getzville, NY 14068-1231

Mailing address

150 Stahl Rd.
Getzville, NY 14068-4965
Phone (716) 629-3400

Other providers in Getzville, NY

All providers in Getzville, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.