Individual provider Active NPI

Karilyn Anne Bauer, PT

  • Physical Therapist
  • Springfield, MO
National Provider Identifier
1184821746
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2000170881 Issued in MO
Practice address
4350 S National Ave
Suite A108
Springfield, MO 65810-2607
Phone
(417) 823-8670
Fax
(417) 823-8625
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2000170881 MO Primary

Addresses

Primary practice location

4350 S National Ave
Suite A108
Springfield, MO 65810-2607

Mailing address

4350 S National Ave
Suite A108
Springfield, MO 65810-2607
Phone (417) 823-8670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000170881MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Plaza Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Park Plaza Physical Therapy Limited Partnership Past Accepting new patients

Organizations & group practices 2

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184821746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 S NATIONAL AVE",
            "address_2": "SUITE A108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102607",
            "telephone_number": "417-823-8670",
            "fax_number": "417-823-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 S NATIONAL AVE",
            "address_2": "SUITE A108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102607",
            "telephone_number": "417-823-8670",
            "fax_number": "417-823-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "KARILYN",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2000170881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.