Nina Suzanne Baker, DPT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014228A Issued in IN

Practice address

201 SE 4TH St, Suite 150
Evansville, IN 47713-1350

Phone

(812) 461-6716

Fax

(812) 402-1250

NPI assigned

Jul 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nina Suzanne Zdanowicz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Body One Health and Fitness Center, LLC

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1528092442
  NPD

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1609449602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SE 4TH ST, SUITE 150",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131350",
            "telephone_number": "812-461-6716",
            "fax_number": "812-402-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Washington Ave Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140550",
            "country_code": "US",
            "telephone_number": "812-485-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "NINA",
        "middle_name": "SUZANNE",
        "credential": "DPT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014228A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "ZDANOWICZ",
            "middle_name": "SUZANNE",
            "credential": "DPT, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryn A Baker, RN
• Denisha Renea Baker
• Jessica Baker, DPT
• Kacey Baker, RBT
• Mallory Leeann Baker, DPT
• Pamala Baker
• Thomas Baker, MSW, LSW
• Timothy Baker, BS
• Adhitya Balaji
• Julia A Balbach, M.A. CCC-A

• Physical Therapist in Evansville, IN
• Providers in Evansville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.