Nina Marie Baker, P.T.
Individual provider Active NPI Physical Therapist · Bristol, TN
NPI 1669540787 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669540787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT0000007317 (TN)
- Practice address
- 1 Medical Park Blvd
Bristol, TN 37620-7430 - Phone
- (423) 844-4149
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0000007317 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0000007317 | TN | Yes |
Addresses
Primary practice location
1 Medical Park Blvd
Bristol, TN 37620-7430
Mailing address
PO Box 669
Blountville, TN 37617-0669
Phone (423) 571-4968
Other providers in Bristol, TN
- Reena Baharani
- Saralee A Bailey
- Emily Bailiff
- Hannah Baker
- Jacquelyn Rose Baker
- Paris Nicole Baker
- Stephan Allen Ball
- Shannon Rae Balthazr
- Tracy Lynn Bamman
- Rohan Banan
All providers in Bristol, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.