Polly T Baker-Zito, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501003252 Issued in MI

Practice address

17015 Silver Pkwy
Fenton, MI 48430-3425

Phone

(810) 593-0027

Fax

(810) 593-0201

NPI assigned

Jun 12, 2006

Last updated

Sep 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mid Michigan Physical Therapy Specialists, LLC

  • Physical Therapist
  • Fowlerville, MI
  • NPI 1134240658
  NPD (past)
• DPT Holdings, LLC

  dba Doctors of Physical Therapy

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1700828910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-733-1200",
            "fax_number": "810-733-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17015 SILVER PKWY",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303425",
            "telephone_number": "810-593-0027",
            "fax_number": "810-593-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER-ZITO",
        "first_name": "POLLY",
        "middle_name": "T",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700828910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Back to Basics Physical Therapy LLC
• Back to Basics Wellness Center
• Blayne David Baggett
• Lisa Diane Baier, D.D.S.
• Mercedes A Bailey, RN
• Amy Nicole Baker, R.N.
• Melissa Baldwin
• Taylor Patrick Barker, BCBA
• Sarah Bauer, LMSW
• Rebecca Baustert

• Physical Therapist in Fenton, MI
• Providers in Fenton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.