MEDICARE: STEPHEN BAKER PT, DPT

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	225100000X	Physical Therapist	1304645	TX

General Provider Information

NPI Number	:	1598256745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN BAKER PT, DPT

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	8235 E 116TH ST STE 220
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-1554
Country	:	US
Telephone Number	:	317-813-2100
Fax Number	:	317-813-2101

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

Provider Enumeration Date	:	05/23/2018
Last Update Date	:	03/15/2023

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Directions to “ STEPHEN BAKER PT, DPT” Practice Location

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