Premier Rehab Specialists, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

11-03029 Issued in KS

Legal business name

PREMIER REHAB SPECIALISTS, PLLC

Practice address

1517 CR 1200
Caney, KS 67333-2839

Phone

(620) 306-0031

NPI assigned

Jan 18, 2017

Last updated

Jan 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark David Baker, PT, DPTNPI 1285855437

Title

President

Phone

(620) 306-0031

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark David Baker, DPT

  • Physical Therapist
  • Bartlesville, OK
  • NPI 1285855437
  NPD (past) Authorized official

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1659817476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 CR 1200",
            "city": "CANEY",
            "state": "KS",
            "postal_code": "673332839",
            "telephone_number": "620-306-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 CR 1200",
            "city": "CANEY",
            "state": "KS",
            "postal_code": "673332839",
            "telephone_number": "620-306-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REHAB SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-306-0031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "11-03029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Leonard McMinn, PHARMACIST
• Teresa Lynn McVey, M.S.
• Melissa D. Randell,D.D.S. (Caney Family Dental)
• Angela Kay Metcalf, LPC APPLICANT
• Nancy J. Cowell, D.M.D. (Morning Star Dental)
• Rick Wilson Mediride
• Robert L. Mason DDS PA
• Roger L. Burch, O.D.
• St. John Physicians, Inc (SJC Caney Rural Health Clinic)
• Usd 436 Caney Valley

• Physical Therapy Clinic/Center in Caney, KS
• Providers in Caney, KS by specialty
• Physical Therapy Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.