Jacob Bauder, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT024974 Issued in PA

Practice address

315 E London Grove Rd
West Grove, PA 19390-9239

Phone

(610) 335-1024

NPI assigned

Feb 25, 2016

Last updated

Feb 25, 2016By 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 1

Addresses

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": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1235599804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E LONDON GROVE RD",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909239",
            "telephone_number": "610-335-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E LONDON GROVE RD",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909239",
            "telephone_number": "610-335-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDER",
        "first_name": "JACOB",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Barkasy, MD
• Michael A. Barkasy Jr., M.D.
• John Christopher Barlow, MD
• Taylor Bartusek
• Julia Batman, PHARMD, BCPS
• Caitlin Beattie, LMT
• Trace Becker, D.C.
• Larkin Berkley, LPC
• Daniel Barry Block, MD
• J Marc Bobik, DPM

• Physical Therapist in West Grove, PA
• Providers in West Grove, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.