Active NPI
Brooke Ashley Baker, DPT
- Physical Therapist
- Traverse City, MI
National Provider Identifier
1992274021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501018944
- Practice address
- 1105 6TH St
Traverse City, MI 49684-2345 - Phone
- (231) 935-5000
- NPI assigned
- Nov 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501018944 | MI | Primary |
Addresses
Primary practice location
1105 6TH St
Traverse City, MI 49684-2345
Mailing address
232 E Ninth St
Traverse City, MI 49684-3204
Phone (517) 648-1398
Other practice location 1
2378 Woodlake Dr
Okemos, MI 48864-6013
Phone (517) 706-0421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501018944 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1992274021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 E NINTH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496843204",
"telephone_number": "517-648-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 6TH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842345",
"telephone_number": "231-935-5000"
}
],
"practiceLocations": [
{
"address_1": "2378 Woodlake Dr",
"address_purpose": "LOCATION",
"city": "Okemos",
"state": "MI",
"postal_code": "488646013",
"country_code": "US",
"telephone_number": "517-706-0421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "BROOKE",
"middle_name": "ASHLEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-19",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501018944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.