Provider Demographics
NPI:1548933153
Name:BAKER, JOSEPH D (DPT)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:D
Last Name:BAKER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 N FM 620 RD APT 1431
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-3546
Mailing Address - Country:US
Mailing Address - Phone:317-833-6326
Mailing Address - Fax:
Practice Address - Street 1:8600 N FM 620 RD APT 1431
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-3546
Practice Address - Country:US
Practice Address - Phone:317-833-6326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology