Active NPI
Pamela Bauer
- Physical Therapist
- Midland, MI
National Provider Identifier
1518975838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010076
- Practice address
- 2203 Candlestick LN
Midland, MI 48642-3165 - Phone
- (989) 430-9457
- NPI assigned
- Aug 3, 2006
- 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 | 5501010076 | MI | Primary |
Addresses
Primary practice location
2203 Candlestick LN
Midland, MI 48642-3165
Mailing address
511 Coolidge Dr
Midland, MI 48642-3338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00193990 | Other | MI | MEDICARE RAILROAD |
Other names 1
- Pamela Girdauckas
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1518975838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 COOLIDGE DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486423338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 CANDLESTICK LN",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486423165",
"telephone_number": "989-430-9457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00193990",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "GIRDAUCKAS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.