Individual provider Active NPI

Callie Bauer, PT

  • Physical Therapist
  • O'Fallon, MO
National Provider Identifier
1194183194
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2016003554 Issued in MO
Practice address
2982 Highway K
O Fallon, MO 63368-7861
Phone
(636) 978-9235
NPI assigned
Feb 4, 2016
Last updated
Apr 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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 2016003554 MO Primary

Addresses

Primary practice location

2982 Highway K
O Fallon, MO 63368-7861

Mailing address

2982 Highway K
O Fallon, MO 63368-7861
Phone (636) 978-9235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160331001052 MO Practitioner - Physical Therapist in Private Practice 7719284074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Babar Enterprises LLCGroup PAC ID 2365342318, 19 clinicians

Practice addresses (Care Compare)

1096 Tom Ginnever Ave
O Fallon, MO 63366-4519
Phone (636) 978-5255

605 E Booneslick Rd
Suite 3
Warrenton, MO 63383-2127
Phone (636) 456-6350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016003554MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Babar Enterprises LLC Physical Therapist CurrentSince Feb 3, 2016 Accepting new patients
Babar Enterprises LLC Physical Therapist Past Accepting new patients
Amato Physical Therapy Associates, LLC Physical Therapist PastSince Aug 24, 2011 Accepting new patients
Babar Enterprises LLC Physical Therapist PastSince Feb 3, 2016 Accepting new patients
Babar Enterprises LLC Physical Therapist PastSince Feb 3, 2016 Accepting new patients

Locations

1346 Clarkson Clayton Ctr
Ellisville, MO 63011
Phone (636) 227-5200

1096 Tom Ginnever Ave
O Fallon, MO 63366
Phone (636) 978-5255

2982 Highway K
O Fallon, MO 63368
Phone (636) 978-5255

1982 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 916-4625

713 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 991-0480

300 First Executive Ave
Ste C
Saint Peters, MO 63376
Phone (636) 939-9540

4800 Mexico Rd
Ste 104
Saint Peters, MO 63376
Phone (636) 916-4625

605 E Booneslick Rd
Ste 3
Warrenton, MO 63383
Phone (636) 456-6350

1428 W Meyer Rd
Wentzville, MO 63385
Phone (636) 327-3333

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1194183194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2982 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687861",
            "telephone_number": "636-978-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2982 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687861",
            "telephone_number": "636-978-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "CALLIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2016003554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.