Kyle J Baker

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI005673 Issued in PA

Practice address

205 E Johnson Hwy
Norristown, PA 19401-2041

Phone

(610) 275-6410

NPI assigned

Feb 11, 2020

Last updated

Feb 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1750913372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E JOHNSON HWY",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194012041",
            "telephone_number": "610-275-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E JOHNSON HWY",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194012041",
            "telephone_number": "610-275-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KYLE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI005673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Norristown",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 E Johnson Hwy",
            "city": "Norristown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194012041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vatsala Ayyaswamy, M.D.
• Omotayo Olufemi Badejoko
• Rocio E Badra, M.D.
• Arevik Bagdasarova, CRNP
• Joseph G Baker, D.D.S.
• Crista Ballard
• Stephanie Snow Baron, M.AC. L. AC.
• Helene Barrette, PHD
• Donna Marie Bartram, CRS
• Prashant Bashyal

• Physical Therapy Assistant in Norristown, PA
• Providers in Norristown, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.