TREVOR BAKER PHYSICAL THERAPY, PLLC (NPI# 1235743436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235743436 |
| Entity Type | Organization |
| Organization Name | TREVOR BAKER PHYSICAL THERAPY, PLLC |
| Practice Address |
3463 E 3890 N Kimberly ID 83341-5508 |
| Practice Telephone | 2086440693 |
| Mailing Telephone | 2086440693 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | DR. TREVOR JOHN BAKER (OWNER / DOCTOR OF PHYSICAL THERAPY) |
| Authorized Official Telephone | 2086440693 |
| Authorized Official Credential | PT, DPT, GCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251C2600X |
Physical Therapist Specialization: Cardiopulmonary |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251N0400X |
Physical Therapist Specialization: Neurology |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Baker Mobile Therapy | Doing Business As Name - Organization |
| Street Address |
3463 E 3890 N |
| City | KIMBERLY |
| State | ID |
| Zip Code | 83341-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047470 | Northstar In Home Support Services | Social Worker | 3323 East B 3600 North, Kimberly, ID 83341 | 2020-03-05 |
| 1851889182 | Ammon Benjamin Birk | Physical Therapist | 940 Ballard Way, Kimberly, ID 83341 | 2018-04-23 |
| 1689161572 | Medsource Mobility LLC | Durable Medical Equipment & Medical Supplies | 319 Highway 30, Unit 3, Kimberly, ID 83341 | 2018-04-17 |
| 1770769325 | Kent J Allen/ Shannon Widmier | Dentist | 702 Center St W, Kimberly, ID 83341 | 2008-01-14 |
| 1710072046 | Helping Hands Sanctuary of Idaho | Psychiatric Hospital | 500 Polk St E, Kimberly, ID 83341 | 2006-10-03 |
| 1407954191 | Kent J. Allen | Dentist | 702 Center Street West, Kimberly, ID 83341 | 2006-09-20 |
| 1841393212 | Troy Alan Williams | Dentist | 1431 North Fillmore St, Twin Falls, ID 83341 | 2006-09-07 |
| 1386269983 | Caroline M Riley | Speech-Language Pathologist | 113 Main Street, Kimberly, ID 83341 | 2020-06-10 |
| 1265512297 | Northwest Bec Corp | Assisted Living Facility | 500 Polk St E, Kimberly, ID 83341 | 2006-10-16 |
| 1396842779 | Shannon Widmier | Dentist | 702 Center Street West, Kimberly, ID 83341 | 2006-09-20 |
| Find all providers in zip 83341 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841751674 | Courtney L Green | Clinic/Center | 9288 Stouts Rd, Kimberly, AL 35091-2005 | 2019-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150581 | Meridian Mama's Physical Therapy | Clinic/Center | 309 W Emma Ave, Coeur D Alene, ID 83814-2522 | 2020-09-30 |
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1356964449 | Vibrant Physical Therapy & Wellness | Clinic/Center | 1111 S Orchard St Ste 104, Boise, ID 83705-1961 | 2020-05-22 |
| 1477193795 | Zona Physical Therapy | Clinic/Center | 11483 W Fairview Ave, Boise, ID 83713-7940 | 2020-01-15 |
| 1225676372 | Mike Dusbabek Physical Therapy, Pllc | Clinic/Center | 609 S Dollar St, Coeur D Alene, ID 83814-3828 | 2019-12-19 |
| 1922665934 | Dahle Physical Therapy, Pllc | Clinic/Center | 812 Shoup St., Salmon, ID 83467-4305 | 2019-05-24 |
| 1598222713 | Salmon Speech and Swallowing Service | Clinic/Center | 700 Riverfront Dr Rm 1, Salmon, ID 83467-5190 | 2019-02-24 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1427565845 | Premier Physical Therapy Inc | Clinic/Center | 13967 W Wainwright Dr Ste 104, Boise, ID 83713-2094 | 2018-01-08 |
| 1790294973 | The Pt Next Door | Clinic/Center | 6098 E. Grand Prairie Drive, Boise, ID 83716 | 2017-09-20 |
| 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.