Susan Romy Baer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2901 Issued in OR

Practice address

6938 SW 26TH Ave
Portland, OR 97219-2564

Phone

(503) 768-4425

NPI assigned

Nov 16, 2005

Sex

Female

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

Practice roles

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.

• Broadway Physical Therapy & Sports Rehab LLC

  • Specialist
  • Portland, OR
  • NPI 1326185950
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1275515264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6938 SW 26TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192564",
            "telephone_number": "503-768-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6938 SW 26TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192564",
            "telephone_number": "503-768-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAER",
        "first_name": "SUSAN",
        "middle_name": "ROMY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yara Christina Hadi Badrakhan
• Kailee MK Badua
• Desiree Baer
• Julie Baer, MSW
• Pamela C. Baer, LMT
• Danielle Baertsch
• Laura Lee Baffes
• Robin Bagai, PSY.D.
• Alissa Lynn Bagan, LMHC
• Anna Bagaric

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.