Healthcare Provider Details

I. General information

NPI: 1013854561
Provider Name (Legal Business Name): ELIZABETH BAKER PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14876 LEIGH AVE
SAN JOSE CA
95124-4520
US

IV. Provider business mailing address

14876 LEIGH AVE
SAN JOSE CA
95124-4520
US

V. Phone/Fax

Practice location:
  • Phone: 408-888-4292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH BAKER
Title or Position: OWNER/PRESIDENT/TREASURER
Credential: PT, DPT
Phone: 408-888-4292