Individual provider Active NPI

Albert Baxter

  • Assistive Technology Practitioner Rehabilitation Counselor
  • Fort Worth, TX
National Provider Identifier
1689535411
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X
License
ATP565 Issued in TX
Practice address
2631 Gravel Dr
Fort Worth, TX 76118-6982
Phone
(972) 647-0111
NPI assigned
Nov 20, 2025
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ATP565TXMDAssistive Technology Practitioner Rehabilitation Counselor
565TXMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.