Healthcare Provider Details

I. General information

NPI: 1720254220
Provider Name (Legal Business Name): SCOTT MATTHEW BAKER JR. D.P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7114 BRIGHTON PARK DR STE 310
MINT HILL NC
28227-7816
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 704-644-0807
  • Fax:
Mailing address:
  • Phone: 423-238-7217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP18681
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: