Amanda Marie Baker, PT, DPT
Individual provider Active NPI Physical Therapist · Wabash, IN
NPI 1700723830 · NPPES record last updated May 11, 2026
Key facts
- NPI
- 1700723830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05011207A (IN)
- Practice address
- 1700 Alber St
Wabash, IN 46992-1015 - Phone
- (260) 569-5480
- Fax
- (260) 569-5485
- NPI assigned
- Apr 29, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11109 Parkview Plaza Dr
Suite 117
Fort Wayne, IN 46845-1701
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260527000562 | IN | Practitioner - Physical Therapist in Private Practice | 1658841002 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05011207A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05011207A | IN | Yes |
Addresses
Primary practice location
1700 Alber St
Wabash, IN 46992-1015
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other providers in Wabash, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.