IndividualActive
Kevin Baker, PHYSCIAL THERAPIST
NPI 1164620639 · Physical Medicine & Rehabilitation Physician · Portland, ME
Provider details
- NPI number
- 1164620639
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PHYSCIAL THERAPIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- 269113 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
55 Baxter Blvd
Portland, ME 04101-1801
Phone: (207) 773-7428
Fax: (207) 842-6229
Approximate (ZIP-level) locationGet directions
Mailing address
55 Baxter Blvd
Portland, ME 04101-1801
Registry dates
- Enumerated
- 2007-07-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.