MEDICARE: MARY THERESA BAKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	A6033	MD

General Provider Information

NPI Number	:	1467300616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY THERESA BAKER

Provider Business Mailing Address
First Line	:	4822 BARTHOLOW RD
Second Line	:
City	:	SYKESVILLE
State	:	MD
Zip	:	21784
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7210 RUTHERFORD RD
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-2719
Country	:	US
Telephone Number	:	443-364-8182
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ MARY THERESA BAKER ” Practice Location

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