Constance Ann Bauer, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

312 Issued in MT

Practice address

19215 Houle Creek Rd
Frenchtown, MT 59834-9610

Phone

(406) 370-6758

Fax

(406) 626-4659

NPI assigned

Jun 8, 2006

Last updated

Oct 29, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1194766626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19215 HOULE CREEK RD",
            "city": "FRENCHTOWN",
            "state": "MT",
            "postal_code": "598349610",
            "telephone_number": "406-370-6758",
            "fax_number": "406-626-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19215 HOULE CREEK RD",
            "city": "FRENCHTOWN",
            "state": "MT",
            "postal_code": "598349610",
            "telephone_number": "406-370-6758",
            "fax_number": "406-626-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "CONSTANCE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000662660",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "0601868",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3402178",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apollo Rehab PLLC
• Sharon Lynn Ashley, LMT
• Bagnell Dental Clinic, P.C.
• Timothy H. Bagnell, DDS
• Kevin James Campbell, LMT, BCTMB
• Cedar Grove Counseling LLC
• Samuel Leo Cotnoir, DPT
• Casey Ebelt
• Eric Nygard, DDS, PLLC (Dream Anesthesia)

• Occupational Therapist in Frenchtown, MT
• Providers in Frenchtown, MT by specialty
• Occupational Therapist in Montana

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