Organization Active NPI

Baker to Bay Physical Therapy and Wellness P.S.

  • Physical Therapy Clinic/Center
  • Bellingham, WA
National Provider Identifier
1952761215
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT60244355 Issued in WA
Legal business name
BAKER TO BAY PHYSICAL THERAPY AND WELLNESS P.S.
Practice address
12 Bellwether Way
Suite 232
Bellingham, WA 98225-2959
Phone
(360) 318-5478
Fax
(360) 841-7683
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Brandis Gunderson, MPTNPI 1477508760
Title
President/Owner/Physical Therapist
Phone
(360) 318-5478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT60244355 WA Primary

Addresses

Primary practice location

12 Bellwether Way
Suite 232
Bellingham, WA 98225-2959

Mailing address

10 Louise View Dr
Bellingham, WA 98229-4419
Phone (360) 318-5478

National Provider Directory

National Provider Directory

Locations

12 Bellwether Way
Ste 232
Bellingham, WA 98225
Phone (360) 284-7020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1952761215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LOUISE VIEW DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982294419",
            "telephone_number": "360-318-5478",
            "fax_number": "360-841-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BELLWETHER WAY",
            "address_2": "SUITE 232",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252959",
            "telephone_number": "360-318-5478",
            "fax_number": "360-841-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER TO BAY PHYSICAL THERAPY AND WELLNESS P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "GUNDERSON",
        "authorized_official_first_name": "BRANDIS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "360-318-5478",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT60244355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.