Christine M Bauch, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9631 Issued in CT

Practice address

2440 Gold Star Hwy
Suite 201
Mystic, CT 06355-1180

Phone

(860) 536-1001

Fax

(860) 536-1527

NPI assigned

May 31, 2007

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

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Independence Physical Therapy, LLCGroup PAC ID 6608808274, 12 clinicians

Practice addresses (Care Compare)

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.

• Independence Physical Therapy, LLC

  • Physical Therapist
  • Mystic, CT
  • NPI 1578596888

  CT, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1346441771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 RHODE ISLAND DR",
            "city": "OAKDALE",
            "state": "CT",
            "postal_code": "063701417",
            "telephone_number": "617-584-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 GOLD STAR HWY",
            "address_2": "SUITE 201",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551180",
            "telephone_number": "860-536-1001",
            "fax_number": "860-536-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUCH",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chelsea Andrea Barabtarlo, LMFT-A
• Benchmark Assisted Living LLC
• Victoria A Bergeson, APRN
• Bruce A. Berlow, M.D.
• Emily Beyene, DPT
• Big Y Foods, Inc

• Physical Therapist in Mystic, CT
• Providers in Mystic, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.