Kathleen E. Baker, PT

Individual provider Active NPI Physical Therapist · Honolulu, HI

NPI 1902844236 · NPPES record last updated Oct 9, 2007

Key facts

NPI
1902844236
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT-1408 (HI)
Practice address
1010 Pensacola St
Honolulu, HI 96814-2118
Phone
(808) 432-2000
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaiser Foundation Health Plan Inc (107 clinicians)

Practice addresses (Care Compare)

1010 Pensacola St
Honolulu, HI 96814-2118
Phone (808) 432-2160

599 Farrington Hwy
Kapolei, HI 96707-2028
Phone (808) 432-3668

Medicare participation

Medicare fee-for-service enrollment
Enrolled in HI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20061004000268 HI Practitioner - Physical Therapist in Private Practice 3274539861 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT-1408HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan Inc Current
since Mar 11, 2012
Accepting new patients
Kaiser Foundation Health Plan, Inc Current
since Mar 11, 2012
Accepting new patients
Kaiser Foundation Health Plan Inc Current Accepting new patients

Locations

1010 Pensacola St
Honolulu, HI 96814
Phone (808) 432-2000

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-1408 HI Yes

Addresses

Primary practice location

1010 Pensacola St
Honolulu, HI 96814-2118

Mailing address

1010 Pensacola St
Honolulu, HI 96814-2118
Phone (808) 432-2000

Other identifiers

IdentifierTypeStateIssuer
0000261883OtherHIHMSA BILLING NUMBER

Other providers in Honolulu, HI

All providers in Honolulu, HI · Physical Therapist in Hawaii

Sources for this page

Verify at the official NPI Registry.