Active NPI
Regina Marlene Baker, OTR/L
- Occupational Therapist
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT18896
- Practice address
- 405 Racetrack Rd NE Ste 101
Fort Walton Beach, FL 32547-3960 - Phone
- (850) 863-4747
- Fax
- (850) 863-4658
- NPI assigned
- Mar 13, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT18896 | FL | Primary |
Addresses
Primary practice location
405 Racetrack Rd NE Ste 101
Fort Walton Beach, FL 32547-3960
Mailing address
405 Racetrack Rd NE Ste 101
Fort Walton Beach, FL 32547-3960
Phone (850) 863-4747
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 |
|---|---|---|---|
| OT18896 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Occupational Therapist | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Current | Accepting new patients | |
| Integrated Rehabilitation Group, PC | Current | Accepting new patients | |
| Physioworks Silverdale PLLC | Current | Accepting new patients | |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Occupational Therapist | Current | Accepting new patients |
Locations
991 NE Riddell Rd
Bremerton, WA 98310
Phone (360) 373-2225
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764
2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764
9399 Ridgetop Blvd NW
Ste 102
Silverdale, WA 98383
Phone (360) 900-2626
9399 Ridgetop Blvd NW
Ste 101
Silverdale, WA 98383
Phone (360) 516-1210
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- Kingston, WA
- NPI 1700466083
Occupational Therapist
-
- Physical Therapist
- Silverdale, WA
- NPI 1912902347
-
- Rehabilitation Clinic/Center
- Silverdale, WA
- NPI 1952986184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1578066932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 RACETRACK RD NE STE 101",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325473960",
"telephone_number": "850-863-4747",
"fax_number": "850-863-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 RACETRACK RD NE STE 101",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325473960",
"telephone_number": "850-863-4747",
"fax_number": "850-863-4658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "REGINA",
"middle_name": "MARLENE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-13",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT18896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.