Trevor John Baker, PT, DPT, GCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-4500 Issued in ID

Practice address

3463 E 3890 N
Kimberly, ID 83341-5508

Phone

(208) 644-0693

Fax

(208) 231-8628

NPI assigned

May 8, 2018

Last updated

Apr 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, UT2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of Utah School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Trevor Baker Physical Therapy

  dba Baker Mobile Therapy

  • Physical Therapy Clinic/Center
  • Kimberly, ID
  • NPI 1235743436

  Physical Therapist, UT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1912496753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951111",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840951111",
            "telephone_number": "385-330-1595",
            "fax_number": "385-257-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 E 3890 N",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833415508",
            "telephone_number": "208-644-0693",
            "fax_number": "208-231-8628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10102 S Redwood Rd Unit 951111",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840956646",
            "country_code": "US",
            "telephone_number": "385-330-1595",
            "fax_number": "385-257-2257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TREVOR",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, GCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "9819977-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Kimberly, ID
• Providers in Kimberly, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.