Kavontaye Baker, DPT is a
Physical Therapist based in Gretna, Florida. Kavontaye Baker is licensed to practice in Florida (license number PT28786) and her current practice location is
191 Earnest Barkley St, Gretna, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 510-6784.
NPI number for Kavontaye Baker is 1902220288 and her current mailing address is 191 Earnest Barkley St, Gretna, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902220288.
Healthcare Provider's Profile
Full Name | Kavontaye Baker |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 191 Earnest Barkley St, Gretna, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902220288
- Provider Enumeration Date: 02/07/2014
- Last Update Date: 02/07/2014
Medical Identifiers
Medical identifiers for Kavontaye Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902220288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT28786 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kavontaye Baker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kavontaye Baker, DPT 191 Earnest Barkley St, Gretna, FL 32332-2050 Ph: (850) 510-6784 | Kavontaye Baker, DPT 191 Earnest Barkley St, Gretna, FL 32332-2050 Ph: (850) 510-6784 |
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