Provider Demographics
NPI:1366840357
Name:BAKER, CHRISTOPHER SCOTT (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:BAKER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2564
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:2846 MOODY PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MOODY
Practice Address - State:AL
Practice Address - Zip Code:35004
Practice Address - Country:US
Practice Address - Phone:205-640-0257
Practice Address - Fax:205-640-0285
Is Sole Proprietor?:No
Enumeration Date:2014-12-08
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH7490225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-47272OtherBCBS-WEST MADISON
AL511-58381OtherBCBS-HOOVER
AL511-58384OtherBCBS-ALTADENA
AL511-58382OtherBCBS-MOODY
009836OtherOPTUM
AL102I652170OtherMEDICARE PTAN
AL511-58380OtherBCBS-CHELSEA
AL511-58360OtherBCBS-ATHENS