Carly Jill Baker, OT
Individual provider Active NPI Occupational Therapist · Vail, CO
NPI 1962779538 · NPPES record last updated Dec 6, 2021
Key facts
- NPI
- 1962779538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2372 (CO)
- Practice address
- 181 W Meadow Dr
Vail, CO 81657-5242 - Phone
- (970) 328-6715
- NPI assigned
- Nov 25, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vail Clinic Inc
Practice addresses (Care Compare)
377 Sylvan Lake Rd
Suite 100
Eagle, CO 81631-6779
Phone (970) 328-6715
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.38 of 100
- Quality
- 55.42
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 65.85
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210218002028 | CO | Practitioner - Occupational Therapist in Private Practice | 8325453608 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2372 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vail Clinic Inc | Current |
Accepting new patients | |
| Vail Clinic, Inc. | Current |
Accepting new patients | |
| Vail Clinic, Inc. | Current | Accepting new patients |
Locations
1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800
377 Sylvan Lake Rd
#100
Eagle, CO 81631
Phone (970) 328-6715
377 Sylvan Lake Rd
Ste 130
Eagle, CO 81631
Phone (970) 326-6715
377 Sylvan Lake Rd
Eagle, CO 81631
Phone (970) 328-1650
181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
Interoperability endpoints
- vvmc.direct@direct.vvmc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2372 | CO | Yes |
Addresses
Primary practice location
181 W Meadow Dr
Vail, CO 81657-5242
Mailing address
PO Box 40000
Vail, CO 81658-7520
Phone (970) 328-6715
Other practice location 1
377 Sylvan Lake Rd Ste 130
Eagle, CO 81631-6779
Phone (970) 326-6715
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | VVMC.DIRECT@direct.vvmc.com | Health Information Exchange (HIE) | Vail Clinic, Inc. |
Other providers in Vail, CO
- Lindsay Aston
- Jerrilu Atkins
- Toni Axelrod
- Jonathon David Backus
- Faith Baer
- Katheryn Baker
- Matilda Baker
- Alison Bakowski
- Daniel Adam Balogh
- Kalee M Barrantes
All providers in Vail, CO · Occupational Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.