Pauline Louise Bauer, PTA
Individual provider Active NPI Physical Therapy Assistant · Beloit, WI
NPI 1598022196 · NPPES record last updated Apr 19, 2012
Key facts
- NPI
- 1598022196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 1236 Hackett St
Beloit, WI 53511-4327 - Phone
- (608) 290-4656
- NPI assigned
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
1236 Hackett St
Beloit, WI 53511-4327
Mailing address
1236 Hackett St
Beloit, WI 53511-4327
Phone (608) 290-4656
Other providers in Beloit, WI
- Kristen Elizabeth Barger
- Sabry Barreras
- Aaron Michael Bartz
- Kimberly Bates
- Martin L Batson
- Rebecca K Baumann
- Bay at Beloit Health and Rehabilitation Center LLC
- Kelsey Lee Beaumont
- Shanleigh Bechard
- Melissa L Beckford
All providers in Beloit, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.