Active NPI
Greg Baker
- Physical Therapist
- West Jordan, UT
National Provider Identifier
1558348516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5300655-2401
- Practice address
- 1577 W 7000 S
#100
West Jordan, UT 84084-7492 - Phone
- (801) 566-6301
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5300655-2401 | UT | Primary |
Addresses
Primary practice location
1577 W 7000 S
#100
West Jordan, UT 84084-7492
Mailing address
9720 S 1300 E
#W200
Sandy, UT 84094-3712
Phone (801) 572-0690
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1558348516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9720 S 1300 E",
"address_2": "#W200",
"city": "SANDY",
"state": "UT",
"postal_code": "840943712",
"telephone_number": "801-572-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1577 W 7000 S",
"address_2": "#100",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840847492",
"telephone_number": "801-566-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "GREG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "5300655-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.