Individual provider Active NPI

Sametria Baker, PT,DPT

  • Physical Therapist
  • Pearland, TX
National Provider Identifier
1730802802
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1368452 Issued in TX
Practice address
10223 Broadway St Ste B
Pearland, TX 77584-7881
Phone
(713) 436-3900
Fax
(713) 436-3904
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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 1368452 TX Primary

Addresses

Primary practice location

10223 Broadway St Ste B
Pearland, TX 77584-7881

Mailing address

10223 Broadway St Ste B
Pearland, TX 77584-7881
Phone (713) 436-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006000838 TX Practitioner - Physical Therapist in Private Practice 8628454170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Physical Therapy Centers, PLLCGroup PAC ID 8022926492, 9 clinicians

Practice addresses (Care Compare)

10223 Broadway St B
Pearland, TX 77584-7881
Phone (713) 436-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1368452TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy Centers, PLLC Physical Therapist CurrentSince Sep 26, 2022 Accepting new patients

Locations

4600 Fairmont Pkwy
Ste 205
Pasadena, TX 77504
Phone (281) 998-8600

10223 Broadway St
Ste B
Pearland, TX 77584
Phone (713) 436-3900

8850 Six Pines Dr
Ste 290
Shenandoah, TX 77380
Phone (281) 364-8844

251 W Medical Center Blvd
Ste 240
Webster, TX 77598
Phone (281) 724-0300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1730802802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST STE B",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847881",
            "telephone_number": "713-436-3900",
            "fax_number": "713-436-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST STE B",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847881",
            "telephone_number": "713-436-3900",
            "fax_number": "713-436-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SAMETRIA",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1368452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.