Active NPI
Albert Baxter
- Assistive Technology Practitioner Rehabilitation Counselor
- Fort Worth, TX
National Provider Identifier
1689535411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Rehabilitation Counselor
- License
- ATP565
- Practice address
- 2631 Gravel Dr
Fort Worth, TX 76118-6982 - Phone
- (972) 647-0111
- NPI assigned
- Nov 20, 2025
- Last updated
- Jan 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 565 | TX | |
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | ATP565 | TX | Primary |
Addresses
Primary practice location
2631 Gravel Dr
Fort Worth, TX 76118-6982
Mailing address
1100 Hatcher LN
Columbia, TN 38401-3530
Phone (931) 377-2273
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 |
|---|---|---|---|
| ATP565 | TX | MD | Assistive Technology Practitioner Rehabilitation Counselor |
| 565 | TX | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procore Med, LLC | Current | Accepting new patients | |
| Reliance Mobility, LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Durable Medical Equipment & Medical Supplies
- Columbia, TN
- NPI 1780113696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1689535411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 HATCHER LN",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384013530",
"telephone_number": "931-377-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2631 GRAVEL DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761186982",
"telephone_number": "972-647-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "ALBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-20",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "TX",
"license": "565",
"primary": false
},
{
"code": "225CA2400X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": "TX",
"license": "ATP565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.