Individual provider Active NPI

Ande Baumann, P.T.

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1316017403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH 1133 Issued in AL
Practice address
3303 Westmill Dr SW
Huntsville, AL 35805-6133
Phone
(256) 536-4777
Fax
(256) 539-0105
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH 1133 AL Primary

Addresses

Primary practice location

3303 Westmill Dr SW
Huntsville, AL 35805-6133

Mailing address

3303 Westmill Dr SW
Huntsville, AL 35805-6133
Phone (256) 536-4777

Other identifiers 1

IdentifierTypeStateIssuer
75250OtherALBC PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000045 AL Practitioner - Physical Therapist in Private Practice 1456376458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3303 Westmill Dr SW
Huntsville, AL 35805-6133
Phone (256) 536-4777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH 1133ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Pool &Land Therapy Inc Physical Therapist CurrentSince Sep 11, 1995 Accepting new patients

Locations

3303 Westmill Dr SW
Huntsville, AL 35805
Phone (256) 536-4777

Organizations & group practices 1

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316017403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 WESTMILL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358056133",
            "telephone_number": "256-536-4777",
            "fax_number": "256-539-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 WESTMILL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358056133",
            "telephone_number": "256-536-4777",
            "fax_number": "256-539-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMANN",
        "first_name": "ANDE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH 1133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER NUMBER",
            "identifier": "75250",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.