Healthcare Provider Details

I. General information

NPI: 1033045919
Provider Name (Legal Business Name): AARON BAKER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 N OAKLAND AVE
MILWAUKEE WI
53211-2239
US

IV. Provider business mailing address

3018 PINNACLE PASS UNIT 203
WAUKESHA WI
53188-0011
US

V. Phone/Fax

Practice location:
  • Phone: 414-962-8480
  • Fax:
Mailing address:
  • Phone: 507-508-3126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17861-24
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: