ANDREW BAKER (NPI# 1124664966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124664966 |
| Entity Type | Individual |
| Full Name | ANDREW BAKER |
| Practice Address |
945 Sw Main Blvd Lake City FL 32025-5746 |
| Practice Telephone | 3867553164 |
| Mailing Telephone | 3867553164 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PTA27903 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821618380 | Andrew Baker | Student in an Organized Health Care Education/Training Program | W1136 Pine St, Fountain City, WI 54629-7805 | 2020-04-24 |
| 1487274718 | Andrew L Baker | Student in an Organized Health Care Education/Training Program | 1531 Southwest Blvd Apt 12l, Tulsa, OK 74107-1815 | 2020-04-16 |
| 1124674551 | Andrew Michael Baker | Pathology | Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 | 2019-08-12 |
| 1225542020 | Andrew James Baker | Counselor | 926 W Oakland Ave Ste 202, Johnson City, TN 37604-1445 | 2017-12-01 |
| 1558806661 | Andrew Zee Baker | Counselor | 430 Ne 5th Ave, Delray Beach, FL 33483-5664 | 2016-12-28 |
| 1205235900 | Andrew Joseph Baker | Dentist | 409 Pond St Ste 6, Braintree, MA 02184-6853 | 2014-08-19 |
| 1295148880 | Andrew Mark Baker | Student in an Organized Health Care Education/Training Program | 1515 E Hospital Dr, Towlsey Ctr G1218g, Spc 5222, Ann Arbor, MI 48109-5000 | 2014-06-11 |
| 1114201316 | Andrew M Baker | Pharmacist | 1903 Calumet Ave., Valparaiso, IN 46383 | 2011-10-06 |
| 1285880823 | Andrew Martin Baker | Dentist | 715 Crisfield Way, Annapolis, MD 21401-4576 | 2008-08-14 |
| 1083874721 | Andrew H Baker | Family Medicine | Highway 191 & Hospital Rd, Chinle, AZ 86503 | 2008-06-16 |
| Street Address |
945 SW MAIN BLVD |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538358585 | Pro Motion Therapy of Lake City LLC | Physical Medicine & Rehabilitation | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2007-10-16 |
| 1821635210 | Wrane Xavier White | Clinic/Center | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-12-04 |
| 1780221275 | Randi Williams | Clinic/Center | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-12-04 |
| 1295371045 | Jessica Jenkins | Clinic/Center | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-11-26 |
| 1013559731 | Joshua Timmons | Physical Therapy Assistant | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-10-14 |
| 1881241560 | Meredith Gardner | Physical Therapist | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-08-19 |
| 1871140558 | Taylor J Sansone | Physical Therapist | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-08-19 |
| 1073801262 | Pro Motion Therapy of Lake City | Physical Therapist | 945 Sw Main Blvd, Lake City, FL 32025 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216321 | Dm Rehab Core LLC | Clinic/Center | 289 Sw Stonegate Ter, Lake City, FL 32024-3456 | 2020-08-18 |
| 1821635210 | Wrane Xavier White | Clinic/Center | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-12-04 |
| 1780221275 | Randi Williams | Clinic/Center | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-12-04 |
| 1295371045 | Jessica Jenkins | Clinic/Center | 945 Sw Main Blvd, Lake City, FL 32025-5746 | 2019-11-26 |
| 1104145697 | Ih3 Physcial Therapy | Clinic/Center | 148 Sauls St, Lake City, SC 29560-2631 | 2010-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942742 | Restore Pelvic Health & Rehab LLC | Clinic/Center | 301 E Yamato Rd Ste 1240, Boca Raton, FL 33431-4931 | 2020-11-03 |
| 1558962019 | Ldg Medical Center LLC | Clinic/Center | 4485 Stirling Rd, Davie, FL 33314-7517 | 2020-11-02 |
| 1255930855 | Tideline Sports Performance & Rehabilitation LLC | Clinic/Center | 5261 Paylor Ln, Lakewood Ranch, FL 34240-2203 | 2020-10-23 |
| 1578162780 | Fourth Trimester Wellness LLC | Clinic/Center | 711 Chancellar Dr, Lutz, FL 33548-4512 | 2020-10-19 |
| 1306445754 | Concierge Rehab Inc | Clinic/Center | 1045 E Heritage Club Cir, Delray Beach, FL 33483-3483 | 2020-10-17 |
| 1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
| 1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
| 1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
| 1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
| 1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.