Active NPI
Paul Sherman Bauer IV, PT
- Orthopedic Physical Therapist
- Guilford, CT
National Provider Identifier
1245285386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 006739
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006739 | CT | MD | Clinical Social Worker |
| 6739 | CT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Specialists | Orthopedic | Current | Accepting new patients |
| Physical Therapy Specialists | Current | 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
- 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.
-
- Physical Therapy Clinic/Center
- Guilford, CT
- NPI 1871872713
CT, Orthopedic
-
- Physical Therapy Clinic/Center
- Guilford, CT
- NPI 1740722040
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
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.