Active NPI
Jimmie B Baker Jr., PT
- Physical Therapist
- Northridge, CA
National Provider Identifier
1730211699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 23997
- Practice address
- 11308 Firenze LN
Northridge, CA 91326-4194 - Phone
- (818) 257-1917
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 23997 | CA | Primary |
Addresses
Primary practice location
11308 Firenze LN
Northridge, CA 91326-4194
Mailing address
11308 Firenze LN
Northridge, CA 91326-4194
Phone (818) 886-8090
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23997 | CA | MD | Chiropractor |
| PT 23997 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1730211699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11308 FIRENZE LN",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913264194",
"telephone_number": "818-886-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11308 FIRENZE LN",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913264194",
"telephone_number": "818-257-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "JIMMIE",
"middle_name": "B",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 23997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.