CALEB BAKE – Physical Therapist, NPI 1225829245

CALEB BAKE is a healthcare provider. based in Idaho falls, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 9071866 (ID). The NPI Number for CALEB BAKE is 1225829245

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
CALEB BAKE
NPI
1225829245
Phone
Not provided
Address
3830 WOODKING DR
Enumeration Date
16 May 2025
Last Update Date
16 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085298393
Graduation Year
2025 (1 year ago)
PAC ID
0143731992
Group Practice PAC ID
4284873480
Professional Enrollment ID
I20250618000693
Address ID
ID834044736ID3830XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID

Provider Addresses for CALEB BAKE

  • 3830 WOODKING DR

    IDAHO FALLS, ID 834044736

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250618000693IPhysical Therapist In Private PracticeIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284873480View full group profile
NameSpecialtyState
P O D I A T R YID
Physical Therapist In Private PracticeID
P O D I A T R YID

Reviews

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Frequently asked questions

What federal number belongs to CALEB BAKE?
The federal identifier for CALEB BAKE is NPI 1225829245.
Is CALEB BAKE active in the national directory?
CALEB BAKE's public NPI profile is in an active state.
What kind of provider is CALEB BAKE?
The page reflects Physical Therapist for CALEB BAKE. Clinical services aligned with this taxonomy classification.
What location metadata exists for CALEB BAKE?
The page summarizes Idaho Falls, Idaho for CALEB BAKE; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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