Deven Martin Bawden, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

51082992401 Issued in UT

Practice address

1151 E 3900 S
Ste B199
Salt Lake City, UT 84124-1216

Phone

(801) 685-9212

Fax

(801) 685-9195

NPI assigned

Nov 15, 2006

Last updated

Oct 17, 2016By the provider in NPPES

Sex

Male

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

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body Tune Physical Therapy PCGroup PAC ID 5092723817, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Body Tune Physical Therapy PC

  • Physical Therapist
  • South Ogden, UT
  • NPI 1952522419
  Medicare reassignment Care Compare group NPD
• Performance West Physical Therapy

  • Physical Therapist
  • Bountiful, UT
  • NPI 1720148240
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1316019037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 HARRISON BLVD",
            "address_2": "STE A",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844032117",
            "telephone_number": "801-685-9212",
            "fax_number": "801-685-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E 3900 S",
            "address_2": "STE B199",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241216",
            "telephone_number": "801-685-9212",
            "fax_number": "801-685-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWDEN",
        "first_name": "DEVEN",
        "middle_name": "MARTIN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "51082992401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elieen Bautista
• Guadalupe Y Bautista
• Mozart Bautista
• Richard D Bavier, MD
• Laiyan H Bawadeen
• Jennfier Bawden
• Katrina Marie Bawden, APRN
• Rachel Bawden
• Adrienne Baxter
• Corderro Baxter

• Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.