Individual provider Active NPI

Jarol Lyn Baumann, PT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1619068871
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1085686 Issued in TX
Practice address
4601 Old Shepard PL
Ste 202
Plano, TX 75093-5292
Phone
(214) 556-8905
Fax
(214) 556-8908
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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 1085686 TX Primary

Addresses

Primary practice location

4601 Old Shepard PL
Ste 202
Plano, TX 75093-5292

Mailing address

4601 Old Shepard PL
Ste 202
Plano, TX 75093-5292
Phone (214) 556-8905

Other identifiers 1

IdentifierTypeStateIssuer
81574TOtherTXBLUE CROSS BLUE SHIELD

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

LicenseStateTypeSpecialty
1085686TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Taba MD PA Past Accepting new patients
NTPT Partners, LLC PastSince Jul 24, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1504/brand/4/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1619068871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL",
            "address_2": "STE 202",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935292",
            "telephone_number": "214-556-8905",
            "fax_number": "214-556-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL",
            "address_2": "STE 202",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935292",
            "telephone_number": "214-556-8905",
            "fax_number": "214-556-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMANN",
        "first_name": "JAROL",
        "middle_name": "LYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1085686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81574T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.