Individual provider Active NPI

Adam Baker

  • Physical Therapist
  • Cheektowaga, NY
National Provider Identifier
1699151076
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039085 Issued in NY
Practice address
7 Community Dr
Cheektowaga, NY 14225-2523
Phone
(716) 505-5634
Fax
(716) 505-5654
NPI assigned
Aug 7, 2015
Last updated
Aug 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 039085 NY Primary

Addresses

Primary practice location

7 Community Dr
Cheektowaga, NY 14225-2523

Mailing address

7 Community Dr
Cheektowaga, NY 14225-2523
Phone (716) 505-5634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151019001888 NY Practitioner - Physical Therapist in Private Practice 7911216759 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039085NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire of Western New York Inc. CurrentSince Aug 10, 2015 Accepting new patients

Locations

7 Community Dr
Cheektowaga, NY 14225
Phone (716) 505-5630

2356 N Forest Rd
Getzville, NY 14068
Phone (716) 505-5560

Organizations & group practices 1

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1699151076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COMMUNITY DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252523",
            "telephone_number": "716-505-5634",
            "fax_number": "716-505-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COMMUNITY DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252523",
            "telephone_number": "716-505-5634",
            "fax_number": "716-505-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.