Ian William Bauersfeld, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5180 Issued in ME

Practice address

277 State St Ste 1B
Bangor, ME 04401-5440

Phone

(207) 922-4000

NPI assigned

Aug 1, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy and Sports Rehab IncGroup PAC ID 1052632932, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Performance Physical Therapy and Sports Rehab Inc.

  • Physical Therapist
  • Bangor, ME
  • NPI 1215333554
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1003394099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 2ND ST APT 1",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016244",
            "telephone_number": "207-538-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 STATE ST STE 1B",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015440",
            "telephone_number": "207-922-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUERSFELD",
        "first_name": "IAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Batley, PSYD
• Oscar Rafael Batlle III, M.D.
• Erica L Batson, LCSW
• Anthony Baude, LADC
• Stacy Baude, RNBC
• Joseph Baxter, PA-C
• Raymond Joseph Baxter, MD
• Bay View Physical Therapy Limited Partnership
• Bay View Physical Therapy Limited Partnership
• Beacon Hospice, LLC

• Physical Therapist in Bangor, ME
• Providers in Bangor, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.