Individual provider Active NPI

Nicole A. Baker, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1952184129
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-33144 Issued in AZ
Practice address
3875 E Williams Field Rd Ste 205
Gilbert, AZ 85295-8700
Phone
(480) 883-0202
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 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 LPT-33144 AZ Primary

Addresses

Primary practice location

3875 E Williams Field Rd Ste 205
Gilbert, AZ 85295-8700

Mailing address

3875 E Williams Field Rd Ste 205
Gilbert, AZ 85295-8700
Phone (480) 883-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915002325 AZ Practitioner - Physical Therapist in Private Practice 9830553361 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ignite Physical Therapy and Wellness Physical Therapist CurrentSince Oct 20, 2024 Accepting new patients
Phoenix Children'S Hospital Current Accepting new patients
Phoenix Children'S Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Ignite Physical Therapy PLC Physical Therapist CurrentSince Oct 20, 2024 Accepting new patients

Locations

3970 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 883-0202

3875 E Williams Field Rd
Ste 205
Gilbert, AZ 85295
Phone (480) 883-0202

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

4215 E Bell Rd
Bldg A
Phoenix, AZ 85032
Phone (602) 933-7529

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

Organizations & group practices 5

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1952184129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 E WILLIAMS FIELD RD STE 205",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958700",
            "telephone_number": "480-883-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 E WILLIAMS FIELD RD STE 205",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958700",
            "telephone_number": "480-883-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "NICOLE",
        "middle_name": "A.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-33144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.