Individual provider Active NPI

Paul Sherman Bauer IV, PT

  • Orthopedic Physical Therapist
  • Guilford, CT
National Provider Identifier
1245285386
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
006739 Issued in CT
Practice address
705 Boston Post Rd
Suite A5
Guilford, CT 06437-2732
Phone
(203) 458-1645
Fax
(203) 458-1689
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 006739 CT Primary

Addresses

Primary practice location

705 Boston Post Rd
Suite A5
Guilford, CT 06437-2732

Mailing address

60 Cambridge Rd
Guilford, CT 06437-1269
Phone (203) 457-9755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060601000045 CT Practitioner - Physical Therapist in Private Practice 8224049465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Specialists of Guilford, LLCGroup PAC ID 8820263759, 13 clinicians

Practice addresses (Care Compare)

705 Boston Post Rd
Suite 5a
Guilford, CT 06437-2733
Phone (203) 458-1645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006739CTMDClinical Social Worker
6739CTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Specialists Orthopedic CurrentSince Nov 1, 2011 Accepting new patients
Physical Therapy Specialists CurrentSince Nov 1, 2011 Accepting new patients
Physiotherapy Associates, Inc. Orthopedic Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

705 Boston Post Rd
Ste 5A
Guilford, CT 06437
Phone (203) 458-1645

840 Boston Post Rd
#200
Old Saybrook, CT 06475
Phone (203) 458-1645

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8076/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1245285386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CAMBRIDGE RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371269",
            "telephone_number": "203-457-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BOSTON POST RD",
            "address_2": "SUITE A5",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372732",
            "telephone_number": "203-458-1645",
            "fax_number": "203-458-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "PAUL",
        "middle_name": "SHERMAN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "006739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.