Amy Jacqueline Baker, MPT
Individual provider Active NPI Specialist · New Bedford, MA
NPI 1508069857 · NPPES record last updated Apr 9, 2015
Key facts
- NPI
- 1508069857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 17194 (MA)
- Practice address
- 225 Rockland St
New Bedford, MA 02740-3136 - Phone
- (508) 999-4040
- Fax
- (508) 993-9387
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Greater New Bedford Physical Therapy and Sports Rehabilitation Inc
Bay State Physical Therapy of Randolph Inc
Practice addresses (Care Compare)
1 Welby Rd
Suite 1E
New Bedford, MA 02745-1137
Phone (508) 998-8517
49 State Rd
Dartmouth, MA 02747-3322
Phone (508) 999-4040
81 Coggeshall St
Suite a
New Bedford, MA 02746-5448
Phone (508) 300-9075
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080215000352 | MA | Practitioner - Physical Therapist in Private Practice | 5799868683 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17194 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Rehabilitation Inc | Current |
Accepting new patients | |
| Bay State Physical Therapy of Randolph Inc | Current |
Accepting new patients | |
| Rand Torman DC PC | Past | Accepting new patients | |
| Gary J. Alves DC, PC | Past |
Accepting new patients | |
| National Physical Therapy, Inc. | Past |
Accepting new patients |
Locations
225 Rockland St
New Bedford, MA 02740
Phone (508) 999-4040
81 Coggeshall St
Ste A
New Bedford, MA 02746
Phone (508) 300-9075
49 State Rd
Unit 101
North Dartmouth, MA 02747
Phone (508) 999-4040
49 State Rd
#101
North Dartmouth, MA 02747
Phone (508) 999-4040
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 17194 | MA | Yes |
Addresses
Primary practice location
225 Rockland St
New Bedford, MA 02740-3136
Mailing address
47 Smith St
S Dartmouth, MA 02748-2321
Other providers in New Bedford, MA
- Jennifer Munson Bailey
- Michele Elizabeth Bailey
- Amanda Helen Bain
- Jessica L Bairos
- Alexis Bajandas
- Heather Baker
- Anne Katherine Baldwin
- Julia Lynn Balkema
- Allison Bancroft
- Micah Bannister
All providers in New Bedford, MA · Specialist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.