BAUER PHYSICAL THERAPY LLC (NPI# 1437271012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437271012 |
Entity Type | Organization |
Organization Name | BAUER PHYSICAL THERAPY LLC |
Practice Address |
355 N Peters Ave Fond Du Lac WI 54935-8258 |
Practice Telephone | 9209299712 |
Practice Fax Number | 9209299715 |
Mailing Telephone | 9209299712 |
Mailing Fax Number | 9209299715 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2008-07-02 |
Authorized Official Name | MR. SHANE D BAUER (P.T.) |
Authorized Official Telephone | 9209299712 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5173024 | WI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 40340300 | 05 |
Street Address |
355 N PETERS AVE |
City | FOND DU LAC |
State | WI |
Zip Code | 54935-8258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528062452 | Kenneth J Scholz | Dentist | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2005-06-09 |
1013521590 | Megan Kowalczyk | Physical Therapist | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2020-09-02 |
1376105700 | Cortney D Birschbach | Optometrist | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2019-07-06 |
1295186690 | Jessica Kulick | Optometrist | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2016-06-27 |
1831538727 | Grant Allan Lepley | Optometrist | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2013-06-24 |
1588745756 | David Brian Hammes | Optometrist | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2006-10-17 |
1639250897 | Brian James Hammes | Optometrist | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2006-10-17 |
1104927854 | James C Neuber | Chiropractor | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2006-09-26 |
1861421604 | Bauer Chiropractic, LLC | Chiropractor | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2006-07-02 |
1144200676 | Shane D Bauer | Physical Therapist | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2006-01-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
Find all providers in zip 54935 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093313074 | Byond Physical Therapy, LLC | Clinic/Center | 11320 W Forest Home Ave, Franklin, WI 53132-1401 | 2020-10-13 |
1568078780 | Streamline Physical Therapy | Clinic/Center | 5806 Crabapple Ln, Madison, WI 53711-3437 | 2020-09-22 |
1790311199 | Exos Wi LLC | Clinic/Center | 7044 S Ballpark Dr Ste 300, Franklin, WI 53132-6910 | 2020-03-17 |
1831735885 | Garvey Physical Therapy & Wellness LLC | Clinic/Center | 417 Maple Ct, Campbellsport, WI 53010-3531 | 2019-11-25 |
1821649088 | Impact Physical Therapy & Performance LLC | Clinic/Center | 1155 Clarity Dr, Verona, WI 53593-9318 | 2019-09-27 |
1427605146 | Peak Endurance | Clinic/Center | 15 N Butler St, Madison, WI 53703-4237 | 2019-08-19 |
1558917617 | Quad/med, LLC | Clinic/Center | N61 W23044 Harry's Way, Sussex, WI 53089 | 2019-08-14 |
1619521267 | Space To Be Well, LLC | Clinic/Center | 1091 Sutherland Ave, River Falls, WI 54022-7509 | 2019-07-31 |
1346894656 | Cornerstone Physical Therapy, LLC | Clinic/Center | 2829 County Highway I Ste 3, Chippewa Falls, WI 54729-2678 | 2019-07-25 |
1619437514 | Resilience Rx LLC | Clinic/Center | 4708 Graywood Ct Apt 3, Nashotah, WI 53058-9688 | 2019-03-25 |
Find all providers with the same taxonomy |
City | FOND DU LAC |
Zip Code | 54935 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.