KEVIN BAKER (PHYSCIAL THERAPIST) – Physical Medicine & Rehabilitation Physician, NPI 1164620639

KEVIN BAKER (PHYSCIAL THERAPIST) is a healthcare provider. based in Portland, Maine. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PHYSCIAL THERAPIST. They hold a License No. 269113 (ME). The NPI Number for KEVIN BAKER (PHYSCIAL THERAPIST) is 1164620639

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN BAKER (PHYSCIAL THERAPIST)
NPI
1164620639
Phone
(207) 773-7428
Address
55 BAXTER BLVD
Enumeration Date
6 July 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
2077812543
Graduation Year
1990 (36 years ago)
PAC ID
1759445687
Group Practice PAC ID
9739180878
Professional Enrollment ID
I20090121000519
Address ID
ME041051383FA361XX1XXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME

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Provider Addresses for KEVIN BAKER (PHYSCIAL THERAPIST)

  • 55, Baxter Boulevard, Bayside, Portland, Cumberland County, Maine, 04101, United States

    PORTLAND, ME 041011801

    Phone: (207) 773-7428

    Fax: (207) 842-6229

    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: 2009-01-21

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
I20090121000519IPhysical Therapist In Private PracticeMETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes88561$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24445$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20033$0
97535Training for self-care or home management, each 15 minutes3618$0
97162Evaluation for physical therapy, typically 30 minutes3430$0
View full utilization report →

Insurance plans in this area (ZIP 04101)

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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: 9739180878View full group profile
NameSpecialtyState
-ME
Physical Therapist In Private PracticeME

Reviews

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Frequently asked questions

How is KEVIN BAKER (PHYSCIAL THERAPIST) identified in CMS data?
CMS-hosted NPPES data lists KEVIN BAKER (PHYSCIAL THERAPIST) with NPI 1164620639.
Can I rely on KEVIN BAKER (PHYSCIAL THERAPIST) being an active provider?
As of the registry snapshot, KEVIN BAKER (PHYSCIAL THERAPIST) is marked active.
What taxonomy line describes KEVIN BAKER (PHYSCIAL THERAPIST)?
For research purposes, treat KEVIN BAKER (PHYSCIAL THERAPIST) as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does KEVIN BAKER (PHYSCIAL THERAPIST) list a practice location?
Patients near Portland, Maine may find KEVIN BAKER (PHYSCIAL THERAPIST) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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