Canaan Wyatt Baker, PTA/RD

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5266 Issued in NC

Practice address

3420 Whitehurst Rd
Greensboro, NC 27410-2580

Phone

(336) 265-6731

NPI assigned

Mar 24, 2014

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669899001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 BOXWOOD CT",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273607847",
            "telephone_number": "336-609-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 WHITEHURST RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102580",
            "telephone_number": "336-265-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CANAAN",
        "middle_name": "WYATT",
        "name_prefix": "Mr.",
        "credential": "PTA/RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2025-09-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "5266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Blaire Baird, FNP-C
• Taylar Pridgen Baity, DNP
• Demetra Bakas, LPT
• Alanne Shaye Baker, MMS, PA-C
• Amelia Grace Bishop Baker, DO
• Courtney Talley Baker, PA-C
• Elizabeth Harrison Baker, L.C.S.W.
• Kathryn M Baker, CRNA
• Latavia Y Baker
• Maria Antoinette Baker, LCSW-A, MSW

• Physical Therapy Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.