Individual provider Active NPI

Jeny Maeya Bauer, DPT

  • Physical Therapist
  • Marshall, MN
National Provider Identifier
1407184716
Registry record updated Dec 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7169 Issued in MN
Practice address
104 W Redwood St Ste 3
Marshall, MN 56258-2016
Phone
(507) 337-2457
Fax
(507) 532-2951
NPI assigned
Nov 24, 2009
Last updated
Dec 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2017

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 7169 MN Primary

Addresses

Primary practice location

104 W Redwood St Ste 3
Marshall, MN 56258-2016

Mailing address

104 W Redwood St Ste 3
Marshall, MN 56258-2016
Phone (507) 337-2457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091207000520 MN Practitioner - Physical Therapist in Private Practice 7113066028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Health Enhancement Centers PAGroup PAC ID 6901956572, 6 clinicians

Practice addresses (Care Compare)

104 W Redwood St
Marshall, MN 56258-1980
Phone (507) 532-2655

732 Main St
Wabasso, MN 56293-0077
Phone (507) 532-2655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Enhancement Centers, P.a. Physical Therapist CurrentSince Dec 1, 2015 Accepting new patients

Locations

104 W Redwood St
Marshall, MN 56258
Phone (507) 532-2655

104 W Redwood St
Ste 3
Marshall, MN 56258
Phone (507) 337-2457

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512864000000",
    "number": "1407184716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W REDWOOD ST STE 3",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582016",
            "telephone_number": "507-337-2457",
            "fax_number": "507-532-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W REDWOOD ST STE 3",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582016",
            "telephone_number": "507-337-2457",
            "fax_number": "507-532-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JENY",
        "middle_name": "MAEYA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2017-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2017; 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.