NPIMap

Organization Active NPI

Robert J Bachman P T PC

Doing business as Baker Valley Physical Therapy

  • Physical Therapist
  • Baker City, OR
National Provider Identifier
1336274273
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1448 Issued in OR
Legal business name
ROBERT J BACHMAN P T PC
Doing business as
Baker Valley Physical Therapy
Practice address
3950 17TH St Ste B
Baker City, OR 97814-1300
Phone
(541) 523-8888
Fax
(541) 523-8889
NPI assigned
Feb 22, 2007
Last updated
Sep 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Robert J Bachman, PTNPI 1992721807
Title
Owner
Phone
(541) 523-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1448 OR Primary

Addresses

Primary practice location

3950 17TH St Ste B
Baker City, OR 97814-1300

Mailing address

3950 17TH St Ste B
Baker City, OR 97814-1300
Phone (541) 523-8888

Other identifiers 4

IdentifierTypeStateIssuer
004636000OtherORBLUE CROSS-BLUE SHIELD
DD7010OtherORMEDICARE RAILROAD
071803MedicaidOR
2603084-01OtherORTRICARE

Other names 1

  • Baker Valley Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303001092 OR Part B Supplier - Clinic/Group Practice 4587551494 Receives reassigned benefits from 6 practitioners
Practice locations: Baker City, OR; Halfway, OR

National Provider Directory

National Provider Directory

Locations

2405 10th St
Baker City, OR 97814
Phone (541) 523-8888

3950 17th St
Ste B
Baker City, OR 97814
Phone (541) 523-8888

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1336274273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 17TH ST STE B",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141300",
            "telephone_number": "541-523-8888",
            "fax_number": "541-523-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 17TH ST STE B",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141300",
            "telephone_number": "541-523-8888",
            "fax_number": "541-523-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J BACHMAN P T PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "BACHMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-523-8888",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "004636000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD7010",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071803",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "2603084-01",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker Valley Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baker City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.