MR. STEPHONE DELANO DEVANTE BAKER (NPI# 1295236057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295236057 |
| Entity Type | Individual |
| Full Name | MR. STEPHONE DELANO DEVANTE BAKER |
| Practice Address |
640 Dr Mary Mcleod Bethune Blvd Daytona Beach FL 32114-3012 |
| Mailing Address |
7216 White Trillium Cir Orlando FL 32818-1275 |
| Practice Telephone | 3864812000 |
| Mailing Telephone | 4077023055 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
640 DR MARY MCLEOD BETHUNE BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922074293 | Brian William Jansen | Specialist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2006-02-27 |
| 1467052399 | Kasiim Shakir Barr | Psychologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2020-10-29 |
| 1770199416 | Nikkita Nozistel | Student in an Organized Health Care Education/Training Program | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2020-09-18 |
| 1629691985 | Sydney Viar | Student in an Organized Health Care Education/Training Program | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2020-05-21 |
| 1154978575 | Zumondrae Newsome | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2019-08-20 |
| 1659859544 | Tamera Alexis Demps | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2018-08-01 |
| 1033697479 | Bria Jones | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2018-07-28 |
| 1689128431 | Matthew Luers | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2016-08-10 |
| 1639549272 | Neville Willibe Spurgeon Jr. | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 | 2015-09-25 |
| 1265823421 | Jae Hwan Song | Specialist/Technologist | 640 Dr Mary Mcleod Bethune Blvd, Handfiled Athletic Training Center, Daytona Beach, FL 32114-3012 | 2015-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 226300000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Kinesiotherapist |
| A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, increasing mobility and independence, and improving psychosocial behavior. The kinesiotherapist seeks a coach-player relationship in which he/she helps the patient/client reach the goal of becoming an independent, self-sustaining person. Kinesiotherapists, as compared with physical therapists, put more emphasis on geriatric care, reconditioning and fitness, and psychiatric care. A large percentage of kinesiotherapists practice in Veterans Administration hospitals. |
| Notes: Source: The Kinesiotherapy Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144476383 | Holly Michelle Bruinsma | Kinesiotherapist | 5165 Adanson Street, Orlando, FL 32804 | 2008-08-07 |
| 1932269164 | Timothy A Werner | Kinesiotherapist | 1851 Nw 96th Ter # 6d, Pembroke Pines, FL 33024-3023 | 2006-12-11 |
| 1811096290 | Robert Harold Ray | Kinesiotherapist | Bay Pines Vahs 10000 Bay Pines Blvd, St Petersburg, FL 33744 | 2006-09-21 |
| 1396843488 | Ralph Richard Funk II | Kinesiotherapist | Bay Pines Veterans Administration Healthcare Sysytem, 10,000 Bay Pines Blvd, Bay Pines, FL 33744-5005 | 2006-09-20 |
| 1487762142 | David A Chana | Kinesiotherapist | 7305 N Military Trl # 117, Riviera Beach, FL 33410-7417 | 2006-08-25 |
| 1083644413 | Kim Elaine Bero | Kinesiotherapist | 1300 B. B. Downs Blvd., Tampa, FL 33612 | 2006-07-03 |
| 1326084658 | John David Lamonda | Kinesiotherapist | 7154 Melogold Cir, Land O Lakes, FL 34637-7406 | 2006-06-22 |
| 1548826514 | Dale Willie Mcghee Jr. | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1477119436 | Meghan Lee | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1104482173 | Julia Marissa Thurman | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.