NPI 1689215956 · live from the CMS NPI Registry
Zachary Baker, PT
Physical Therapist in Nellis Afb, NV. National Provider Identifier 1689215956, active.
NPI record
| NPI | 1689215956 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 |
| Practice phone | 702-653-3501 |
| Enumerated | October 8, 2019 |
| Last updated | August 4, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 045020 (NY) |
| Physical Therapist primary | 225100000X | 298020 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.