Individual provider Active NPI

Stephen Baker, PT, DPT

  • Physical Therapist
  • Middlesboro, KY
National Provider Identifier
1841007507
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009243 Issued in KY
Practice address
1510 Cumberland Ave
Middlesboro, KY 40965-1223
Phone
(618) 534-6713
Fax
(606) 302-5474
NPI assigned
Dec 16, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 009243 KY Primary

Addresses

Primary practice location

1510 Cumberland Ave
Middlesboro, KY 40965-1223

Mailing address

1510 Cumberland Ave
Middlesboro, KY 40965-1223
Phone (618) 534-6713

Other practice location 1

209 Knox St
Barbourville, KY 40906-1427
Phone (606) 546-6907

Other practice location 2

430 S Broad St
New Tazewell, TN 37825-7239
Phone (423) 441-8848

Other practice location 3

362 Catalpa Ave
Harrogate, TN 37752-8149
Phone (423) 869-9923

Other practice location 4

116 N Pine St
Pineville, KY 40977-1673
Phone (606) 654-2276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250108002736 KY Practitioner - Physical Therapist in Private Practice 6608304381 Reassigns benefits to 1 organization
I20251120003459 TN Practitioner - Physical Therapist in Private Practice 6608304381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevation Therapy LLCGroup PAC ID 2062832629, 12 clinicians

Practice addresses (Care Compare)

1510 Cumberland Ave
Middlesboro, KY 40965-1223
Phone (606) 302-5474

430 S Broad St
New Tazewell, TN 37825-7239
Phone (423) 441-8848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Therapy, LLC Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients
Apex Physical Therapy and Sports Performance, LLC Physical Therapist PastSince Mar 13, 2018 Accepting new patients

Locations

209 Knox St
Barbourville, KY 40906
Phone (606) 546-6907

1510 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 302-5474

116 N Pine St
Pineville, KY 40977
Phone (606) 337-6548

362 Catalpa Ave
Harrogate, TN 37752
Phone (423) 869-9923

430 S Broad St
New Tazewell, TN 37825
Phone (423) 441-8848

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1841007507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651223",
            "telephone_number": "618-534-6713",
            "fax_number": "606-302-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651223",
            "telephone_number": "618-534-6713",
            "fax_number": "606-302-5474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Knox St",
            "address_purpose": "LOCATION",
            "city": "Barbourville",
            "state": "KY",
            "postal_code": "409061427",
            "country_code": "US",
            "telephone_number": "606-546-6907",
            "fax_number": "606-546-6910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 S Broad St",
            "address_purpose": "LOCATION",
            "city": "New Tazewell",
            "state": "TN",
            "postal_code": "378257239",
            "country_code": "US",
            "telephone_number": "423-441-8848",
            "fax_number": "423-441-8849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "362 Catalpa Ave",
            "address_purpose": "LOCATION",
            "city": "Harrogate",
            "state": "TN",
            "postal_code": "377528149",
            "country_code": "US",
            "telephone_number": "423-869-9923",
            "fax_number": "423-869-9925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 N Pine St",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "KY",
            "postal_code": "409771673",
            "country_code": "US",
            "telephone_number": "606-654-2276",
            "fax_number": "606-654-2794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "STEPHEN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.