Baker Physical Therapy Clinic
Organization Active NPI Rehabilitation Clinic/Center · Baker, LA
NPI 1770628141 · NPPES record last updated Jun 21, 2018
Key facts
- NPI
- 1770628141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- License
- PT-0307 (LA)
- Legal business name
- BAKER PHYSICAL THERAPY CLINIC
- Practice address
- 4971 Groom Rd
Baker, LA 70714-3145 - Phone
- (225) 775-7051
- Fax
- (225) 774-7244
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Julian Craig McCulloch, P.T.
- Title
- Owner
- Phone
- (225) 775-7051
Practitioners 1
-
Julian Craig McCulloch, P.T.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | PT-0307 | LA | Yes |
Addresses
Primary practice location
4971 Groom Rd
Baker, LA 70714-3145
Mailing address
4971 Groom Rd
Baker, LA 70714-3145
Phone (225) 775-7051
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23651 | Other | LA | BLUE CROSS PROVIDER # |
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All providers in Baker, LA · Rehabilitation Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.