Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Baker, PT, DPT

Individual provider Physical Therapist · NPI 1801589361

Derrick Baker, PT, DPT is a Physical Therapist in Private Practice in Kenmore, Washington. Qualified in 2023, 3 years ago. Practices with Kimberly Mullen DC PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

6704 NE 181st St Ste 101
Kenmore, WA 98028-4890
Phone: (425) 419-4363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61379948 (WA)

Record details

NPI number1801589361
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 31, 2023
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023
Mailing address209 Kirkland Ave, Kirkland, WA 98033-6503

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kimberly Mullen Dc Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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