Kyle Steven Baker, PT DPT
Individual provider Active NPI Physical Therapist · Bradford, PA
NPI 1831665835 · NPPES record last updated Mar 3, 2021
Key facts
- NPI
- 1831665835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT027407 (PA)
- Practice address
- 1001 E Main St Ste 510
Bradford, PA 16701-3273 - Phone
- (814) 596-0016
- Fax
- (814) 596-0024
- NPI assigned
- Oct 17, 2018
- Sex
- Male
- 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 |
|---|---|---|---|
| PT027407 | PA | MD | Physical Therapist |
Interoperability endpoints
- kyle.s.baker@upmcdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT027407 | PA | Yes |
Addresses
Primary practice location
1001 E Main St Ste 510
Bradford, PA 16701-3273
Mailing address
1001 E 2ND St
Coudersport, PA 16915-8161
Phone (814) 274-5300
Other providers in Bradford, PA
- Anesthetix of Bradford, LLC
- Cheryl A Antle
- Apria Healthcare LLC
- Kylie Atteberry
- Alicia Ann Austin
- Robert Daniel Baker
- Corinne Leigh Barnett
- Travis Aaron Bashline
- Wendi L Bator
- Heather Ann Bazurto
All providers in Bradford, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2021. 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.