Active NPI
Allison Marie Beardsley Baumli, DPT
- Physical Therapist
- Burnsville, MN
National Provider Identifier
1508233545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9995
- Practice address
- 12400 Portland Ave Ste 140
Burnsville, MN 55337-6805 - Phone
- (952) 428-0400
- NPI assigned
- Aug 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9995 | MN | Primary |
Addresses
Primary practice location
12400 Portland Ave Ste 140
Burnsville, MN 55337-6805
Mailing address
12400 Portland Ave Ste 140
Burnsville, MN 55337-6805
Other practice location 1
800 E 28th St
Minneapolis, MN 55407-3723
Phone (650) 269-2265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9995 | Other | MN | MN PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9995 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1508233545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 PORTLAND AVE STE 140",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 PORTLAND AVE STE 140",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376805",
"telephone_number": "952-428-0400"
}
],
"practiceLocations": [
{
"address_1": "800 E 28th St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554073723",
"country_code": "US",
"telephone_number": "650-269-2265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUMLI",
"first_name": "ALLISON",
"middle_name": "MARIE BEARDSLEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN PT LICENSE",
"identifier": "9995",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.