Robin Liane Bauer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH1970 Issued in AL

Practice address

1302 Quail Run Dr SW
Jacksonville, AL 36265-3307

Phone

(256) 782-0822

Fax

(256) 782-0088

NPI assigned

Sep 26, 2006

Last updated

Jul 9, 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 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265533442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 QUAIL RUN DR SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653307",
            "telephone_number": "256-782-0822",
            "fax_number": "256-782-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 QUAIL RUN DR SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653307",
            "telephone_number": "256-782-0822",
            "fax_number": "256-782-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "ROBIN",
        "middle_name": "LIANE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH1970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "51093990",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam William Balog, D.C.
• Eden Barlow, MSW
• Savannah Rose Barrentine
• La Chandra Cyntrise Bartholomew-Jones, LPC, NCC, MAC, AADC
• Mosammat Rabeya Bashri, BSW
• Makenzie W. Bayles, PH.D, BCBA-D
• Sydney Alexis Beason
• Kalie Bible
• Wade Bilger, CRNA
• Julia Winters Blanks, NP

• Physical Therapist in Jacksonville, AL
• Providers in Jacksonville, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.