Lauren Baker, PT, DPT, ATC, MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15144 Issued in WI

Practice address

1625 S Division Ave
Boise, ID 83706-3843

Phone

(815) 545-2738

NPI assigned

Nov 26, 2013

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Lauren Baker Physical Therapy and Wellness LLC

  • Physical Therapist
  • Boise, ID
  • NPI 1164295374
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2023.

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1508296641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580",
            "telephone_number": "815-545-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 S DIVISION AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063843",
            "telephone_number": "815-545-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, ATC, MTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forrest James Baker, RN
• Gail E Baker, LCSW
• James P Baker, MD
• Jane D Baker, LCPC
• Jennifer J Baker
• Vanity Kaitlin Baker, BCBA
• Utham P Balachandran, OD
• Balance Recovery LLC
• Balanced Rock Wellness, LLC
• Kimberly Rose Balangue, CRNA

• All providers in Boise, ID
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.