Active NPI
Catherine Baker, PT
- Physical Therapist
- Fairfax, VA
National Provider Identifier
1629352174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19993
- Practice address
- 11240 Waples Mill Rd Ste 202
Fairfax, VA 22030-6078 - Phone
- (703) 237-2219
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- 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 | PT19993 | FL | Primary |
Addresses
Primary practice location
11240 Waples Mill Rd Ste 202
Fairfax, VA 22030-6078
Mailing address
1547 Hiddenbrook Dr
Herndon, VA 20170-2815
Phone (954) 816-5772
Other practice location 1
6245 Bay Club Dr
#4
Fort Lauderdale, FL 33308-1514
Phone (954) 816-5772
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT19993 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1629352174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1547 HIDDENBROOK DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201702815",
"telephone_number": "954-816-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11240 WAPLES MILL RD STE 202",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306078",
"telephone_number": "703-237-2219"
}
],
"practiceLocations": [
{
"address_1": "6245 Bay Club Dr",
"address_2": "#4",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333081514",
"country_code": "US",
"telephone_number": "954-816-5772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "CATHERINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.