Andrea L. Baumann, DPT, ATC, CSCS
Individual provider Active NPI Physical Therapist · Evansville, IN
NPI 1093799017 · NPPES record last updated Aug 7, 2009
Key facts
- NPI
- 1093799017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05007615A (IN)
- Practice address
- 7300 E Indiana St
Ste. 102
Evansville, IN 47715-2794 - Phone
- (812) 476-0409
- Fax
- (812) 476-1016
- NPI assigned
- Dec 2, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prorehab of Kentucky, LLC | Current | Accepting new patients | |
| Prorehab of Kentucky, LLC | Current | Accepting new patients | |
| Proapex | Current | Accepting new patients | |
| Tri-State Orthopaedic Surgeons, Inc. | Past | Accepting new patients | |
| Prorehab Louisville, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
702 Barret Blvd
#B
Henderson, KY 42420
Phone (270) 631-4100
1075 N Main St
Madisonville, KY 42431
Phone (270) 643-5787
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05007615A | IN | Yes |
| Physical Therapist | 225100000X | 005061 | KY |
Addresses
Primary practice location
7300 E Indiana St
Ste. 102
Evansville, IN 47715-2794
Mailing address
7300 E Indiana St
Ste. 102
Evansville, IN 47715-2794
Phone (812) 476-0409
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000280268 | Other | IN | BLUE CROSS BLUE SHIELD |
| 200818620 | Medicaid | IN |
Other providers in Evansville, IN
- Jennifer Michelle Bates
- Bradley John Bath
- Robert L Bauer
- William D Bauer
- Erin Baum
- Daniel J Baumann
- Hope Baumberger
- Dawn M Baumgart
- Chelsey Keisha Baxter
- Jarah Jillian Bayer
All providers in Evansville, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.