JONATHAN DOUGLAS BAKER (NPI# 1114278512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114278512 |
| Entity Type | Individual |
| Full Name | JONATHAN DOUGLAS BAKER |
| Credential | PT, DPT |
| Practice Address |
406 Roy Martin Rd Ste 9 Gray TN 37615-2245 |
| Practice Telephone | 4234771101 |
| Practice Fax Number | 4234771102 |
| Mailing Telephone | 4234771101 |
| Mailing Fax Number | 4234771102 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 9188 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
9188 | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD TN | 6008485 | 01 |
| TN | 4336765 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649507567 | Jonathan Robert Baker | Physician Assistant | 420 West 23rd St., Ste. Pb, New York, NY 10011 | 2009-11-13 |
| 1912969338 | Jonathan C Baker | Pediatrics | Riverside Pediatrics, 9659 Riverside Dr, Tulsa, OK 74137-7305 | 2006-04-03 |
| 1447233754 | Jonathan Glenn Baker | Dermatology | 984 West Broadway, Suite 4, Jackson, WY 83001-0000 | 2005-11-22 |
| 1487269445 | Jonathan William Baker | Counselor | 515 E 6th St, Los Angeles, CA 90021-1009 | 2020-09-15 |
| 1740832633 | Jonathan Baker | Physical Therapist | 300 North Ave, Battle Creek, MI 49017-3307 | 2019-07-11 |
| 1447733134 | Jonathan Baker | Counselor | 3580 Wilshire Blvd Ste 800, Los Angeles, CA 90010 | 2018-09-10 |
| 1518455831 | Jonathan Joseph Baker | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Neurology & Rehabilitation Medicine, Cincinnati, OH 45219 | 2018-04-23 |
| 1104351758 | Jonathan Baker | Psychiatry & Neurology | 2500 N State St, Jackson, MS 39216-4500 | 2017-04-20 |
| 1386073732 | Jonathan Baker | Marriage & Family Therapist | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2013-11-06 |
| 1285915231 | Jonathan Alan Baker | Pharmacist | 2025 N Central Expy, Mckinney, TX 75070-2911 | 2011-09-05 |
| Street Address |
406 ROY MARTIN RD STE 9 |
| City | GRAY |
| State | TN |
| Zip Code | 37615-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992346290 | Kathryn Contel | Physical Therapist | 406 Roy Martin Rd Ste 9, Gray, TN 37615-2245 | 2019-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306157268 | Alan C Bunger | Physical Therapist | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2244 | 2010-06-25 |
| 1285965954 | Matthew Dubois | Physical Therapist | 19 Lamkin Ln, Gray, ME 04039-7771 | 2010-01-20 |
| 1770746570 | Julie S Sullens | Physical Therapist | 4446 Rivercliff Way, Gray, GA 31032-3875 | 2008-07-02 |
| 1760511067 | Randy Lee Sillyman | Physical Therapist | 366 Keefauver Rd, Gray, TN 37615-4410 | 2007-03-04 |
| 1477509115 | Leo R Credit Jr. | Physical Therapist | 6 Turnpike Acres Rd, Gray, ME 04039-9432 | 2006-05-25 |
| 1902872252 | Kimberly Lynn Bershadsky | Physical Therapist | 510 Settlement Drive, Suite 7, Gray, GA 31032 | 2006-02-27 |
| 1992346290 | Kathryn Contel | Physical Therapist | 406 Roy Martin Rd Ste 9, Gray, TN 37615-2245 | 2019-10-08 |
| 1184188773 | Sarah Morgan | Physical Therapist | 152 Gray Station Rd Apt 6, Gray, TN 37615-2595 | 2019-01-28 |
| 1659611176 | Rebecca Karen Johnston | Physical Therapist | 406 Roy Martin Rd, Gray, TN 37615-2244 | 2013-02-20 |
| 1215209036 | Timothy Andy Wooten | Physical Therapist | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2244 | 2012-02-09 |
| Find all providers in GRAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.