Robert Baker PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501001380 Issued in MI

Legal business name

ROBERT BAKER PT PC

Practice address

362 Lake Forest Rd
Rochester HLS, MI 48309-2234

Phone

(248) 961-1020

NPI assigned

Jun 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Baker, PT

Title

Owner

Phone

(248) 961-1020

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1609196849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 LAKE FOREST RD",
            "city": "ROCHESTER HLS",
            "state": "MI",
            "postal_code": "483092234",
            "telephone_number": "248-961-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 LAKE FOREST RD",
            "city": "ROCHESTER HLS",
            "state": "MI",
            "postal_code": "483092234",
            "telephone_number": "248-961-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BAKER PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-961-1020",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501001380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.