Active NPI
Amanda Brooke Baker I, MSOT, OTR/L
- Pediatric Occupational Therapist
- Chattanooga, TN
National Provider Identifier
1780154591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 4710
- Practice address
- 1607 Jefferson St
Chattanooga, TN 37408-2127 - Phone
- (423) 443-0727
- NPI assigned
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 4710 | TN | Primary |
Addresses
Primary practice location
1607 Jefferson St
Chattanooga, TN 37408-2127
Mailing address
1607 Jefferson St
Chattanooga, TN 37408-2127
Phone (423) 443-0727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4710 | Other | TN | STATE OF TENNESSEE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4710 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1780154591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 JEFFERSON ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374082127",
"telephone_number": "423-443-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 JEFFERSON ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374082127",
"telephone_number": "423-443-0727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "AMANDA",
"middle_name": "BROOKE",
"name_suffix": "I",
"credential": "MSOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TN",
"license": "4710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TENNESSEE",
"identifier": "4710",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.