Peter Bauchert

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61012542 Issued in WA

Practice address

1015 Ocean Beach Hwy Ste 16
Longview, WA 98632-4098

Phone

(360) 501-3750

NPI assigned

Oct 28, 2019

Last updated

Oct 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PeacehealthGroup PAC ID 5890689293, 188 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peacehealth

  dba St. John Medical Center - PeaceHealth Medical Group

  • Multi-Specialty Clinic/Center
  • Longview, WA
  • NPI 1720056187
  Medicare reassignment Care Compare group NPD
• Peacehealth

  dba St. John Medical Center-PeaceHealth Therapy and Wellness

  • Prosthetic/Orthotic Supplier
  • Longview, WA
  • NPI 1184106437
  NPD (past)
• Peacehealth

  dba St. John Medical Center - Outpatient Therapy

  • Physical Therapist
  • Longview, WA
  • NPI 1275501538
  NPD (past)

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1194369645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11612 NE 103RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623538",
            "telephone_number": "423-718-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 OCEAN BEACH HWY STE 16",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324098",
            "telephone_number": "360-501-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Triangle Shopping Ctr Ste 270",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986324684",
            "country_code": "US",
            "telephone_number": "360-501-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUCHERT",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62896",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61012542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Anne Bartholomew, LCSW
• Michael Lee Bartlett, MD
• Noemi Bartley, BS, AAC
• C J Bartness, D.C.
• Shelby Barton
• Kristen L Bauer, LMP
• Jared Michael Baughman, MA, CAAR
• Rebecca Sue Baumgardner, M.ED., OTR/L
• Mikylah Bausch, MSW, LICSWA
• Laurie Baxter, BS, R-AAC

• Physical Therapist in Longview, WA
• Providers in Longview, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.