Provider Demographics
NPI:1669566998
Name:BAKER, CASEY JEAN HOOVER (OTR/L, CHT)
Entity type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:JEAN HOOVER
Last Name:BAKER
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:MISS
Other - First Name:CASEY
Other - Middle Name:JEAN
Other - Last Name:HOOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, CHT
Mailing Address - Street 1:317 SANFORD DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-2573
Mailing Address - Country:US
Mailing Address - Phone:828-437-0888
Mailing Address - Fax:828-437-1020
Practice Address - Street 1:317 SANFORD DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-2573
Practice Address - Country:US
Practice Address - Phone:828-437-0888
Practice Address - Fax:828-437-1020
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10116225X00000X
NC6830225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
727556OtherOPTUMHEALTH
NC7302121Medicaid
150RYOtherBLUECROSS BLUESHIELD OF NORTH CAROLINA
FL890147300Medicaid
NC7302121Medicaid