William D Bauer, PTA
Individual provider Active NPI Physical Therapy Assistant · Evansville, IN
NPI 1154486256 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154486256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 06002698A (IN)
- Practice address
- 150 N Rosenberger Ave
Evansville, IN 47712-6503 - Phone
- (812) 476-7000
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06002698A | IN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06002698A | IN | Yes |
Addresses
Primary practice location
150 N Rosenberger Ave
Evansville, IN 47712-6503
Mailing address
PO Box 6890
Evansville, IN 47719-0890
Other providers in Evansville, IN
- Jansen Laruecarrell Bassett
- Carrie Ash Bates
- Jennifer Michelle Bates
- Bradley John Bath
- Robert L Bauer
- Erin Baum
- Andrea L. Baumann
- Daniel J Baumann
- Hope Baumberger
- Dawn M Baumgart
All providers in Evansville, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.