Individual provider Active NPI

Debra Baumann, PT

  • Physical Therapist
  • Wausau, WI
National Provider Identifier
1023022241
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9765 Issued in WI
Practice address
2600 Rib Mountain Dr Ste 220
Physiotherapy Associates
Wausau, WI 54401-7196
Phone
(715) 843-5300
Fax
(715) 843-5329
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9765 WI Primary

Addresses

Primary practice location

2600 Rib Mountain Dr Ste 220
Physiotherapy Associates
Wausau, WI 54401-7196

Mailing address

2600 Rib Mountain Dr Ste 220
Physiotherapy Associates
Wausau, WI 54401-7196
Phone (715) 843-5300

Other identifiers 1

IdentifierTypeStateIssuer
40365200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226000364 WI Practitioner - Physical Therapist in Private Practice 5597651422 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9765WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

1901 Westwood Center Blvd
Wausau, WI 54401
Phone (715) 355-9424

3402 Howland Ave
Ste 100
Weston, WI 54476
Phone (715) 355-5701

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1023022241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 RIB MOUNTAIN DR STE 220",
            "address_2": "PHYSIOTHERAPY ASSOCIATES",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017196",
            "telephone_number": "715-843-5300",
            "fax_number": "715-843-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 RIB MOUNTAIN DR STE 220",
            "address_2": "PHYSIOTHERAPY ASSOCIATES",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017196",
            "telephone_number": "715-843-5300",
            "fax_number": "715-843-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMANN",
        "first_name": "DEBRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40365200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.