Blair A Baker, MPT
Individual provider Active NPI Physical Therapist · Beaumont, CA
NPI 1962411199 · NPPES record last updated Jun 25, 2008
Key facts
- NPI
- 1962411199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 26569 (CA)
- Practice address
- 851 E 6TH St
Suite a-4
Beaumont, CA 92223-2340 - Phone
- (951) 769-8555
- Fax
- (951) 769-1220
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26569 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xcel Orthopedic & Sports Physical Therapy | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26569 | CA | Yes |
Addresses
Primary practice location
851 E 6TH St
Suite a-4
Beaumont, CA 92223-2340
Mailing address
851 E 6TH St
Suite a-4
Beaumont, CA 92223-2340
Phone (951) 769-8555
Other providers in Beaumont, CA
- Apex Urgent Care, Inc
- Kwame Boateng Appiah
- Ascend Care Collective
- Assisted Living Care Solutions, LLC
- Ashley Avila
- Blair M Ball
- Jeremy Ball
- Bansi Corporation
- Bansi Corporation
- Carlos Alberto Banuelos Ramirez
All providers in Beaumont, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.