Shana Nicole Baker, PTA
Individual provider Active NPI Physical Therapy Assistant · Springfield, KY
NPI 1780959528 · NPPES record last updated Mar 13, 2012
Key facts
- NPI
- 1780959528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A02506 (KY)
- Practice address
- 420 E Grundy Ave
Springfield, KY 40069-1173 - Phone
- (859) 336-7771
- NPI assigned
- Mar 13, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A02506 | KY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A02506 | KY | Yes |
Addresses
Primary practice location
420 E Grundy Ave
Springfield, KY 40069-1173
Mailing address
310 Old Sharpsville LN
Harrodsburg, KY 40330-8018
Phone (859) 481-3299
Other providers in Springfield, KY
- Alison Abell Simpson DMD PLLC
- Allison Brooke Ballard
- Bardstown Primary Care, PLLC
- Dinah Gale Bausch
- Julia Bishop
- Mollie Sullivan Blair
All providers in Springfield, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2012. 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.