BRADLEY BAKER
NPI 1174043319
Physical Therapist in Maple Grove, MN
About Bradley Baker NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY BAKER (NPI 1174043319) is an individual physical therapist in Maple Grove, Minnesota, licensed in Minnesota (10752) and active in the NPI registry since June 2017.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bradley Baker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bradley Baker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn Park, MN 55445
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bradley Baker's NPI number?
The NPI number for Bradley Baker is 1174043319. It was assigned to this individual provider in the NPPES registry on June 20, 2017.
Where is Bradley Baker located?
Bradley Baker practices at 15301 Grove Cir N, Maple Grove, MN 55369. The listed phone number is (952) 993-5900.
What is Bradley Baker's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Bradley Baker enrolled in Medicare?
Yes. Bradley Baker is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bradley Baker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Baker reassigns Medicare benefits to Park Nicollet Clinic (Brooklyn Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bradley Baker was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.