| Payton Baker, PT, DPT | |
|
2300 Gallberry Ln, Waxhaw, NC 28173-0161 | |
| (704) 649-4509 | |
| Not Available |
| Full Name | Payton Baker |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2300 Gallberry Ln, Waxhaw, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669133591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P20948 (North Carolina) | Primary |
| Provider Name | Kidology Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730591991 PECOS PAC ID: 3476943887 Enrollment ID: O20211129001112 |
| Mailing Address | Practice Location Address |
|---|---|
| Payton Baker, PT, DPT 5407 Dockery Dr, Charlotte, NC 28209-3677 Ph: () - | Payton Baker, PT, DPT 2300 Gallberry Ln, Waxhaw, NC 28173-0161 Ph: (704) 649-4509 |
Ashlie Moore, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Gallberry Ln, Waxhaw, NC 28173 Phone: 704-649-4509 | |
Caitlyn Riley Crawford, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Gallberry Ln, Waxhaw, NC 28173 Phone: 704-635-1476 | |
Kristy Joy Fleming, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Toteros Dr, Waxhaw, NC 28173 Phone: 704-649-4509 Fax: 704-843-9045 | |
Saveena Kondaveeti, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8620 Fairgreen Ave, Waxhaw, NC 28173 Phone: 980-322-5440 | |
Megan Lynch Madlom, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7402 Stonehaven Dr, Waxhaw, NC 28173 Phone: 210-896-0182 | |
Jennie Murray, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 616 N Broome Street, Suite 103, Waxhaw, NC 28173 Phone: 704-243-8488 | |
Ashley White Myers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Toteros Dr, Waxhaw, NC 28173 Phone: 662-769-1328 Fax: 704-843-9045 |