Nicole Layne Baker
Physical Therapist in Longview, WA. Individual provider (NPI-1).
NPI number1619622776
StatusActive
Last updated in NPPESDec 4, 2023
Details
- NPI
- 1619622776
- Entity type
- Individual (NPI-1)
- Name
- Nicole Layne Baker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2022
- Certification date
- Dec 4, 2023
- Last updated
- Dec 4, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Other names
- Nicole Seidl (Former Name)
Practice location
200 Triangle Shopping Ctr Ste 270Longview, WA 98632-4684
Phone 360-501-3750
Mailing address
253 Chapman RdCastle Rock, WA 98611-9658
Phone 360-749-7497
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 61 Physical Therapist providers in Longview · All 2,229 providers in Longview
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