Active NPI
Maureen Bauman
- Orthopedic Physical Therapist
- Cleveland Heights, OH
National Provider Identifier
1629547708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT017292
- Practice address
- 5 Severance Cir Ste 115
Cleveland Heights, OH 44118-1513 - Phone
- (216) 381-0300
- NPI assigned
- Nov 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT017292 | OH | Primary |
Addresses
Primary practice location
5 Severance Cir Ste 115
Cleveland Heights, OH 44118-1513
Mailing address
2379 Miramar Blvd
University Heights, OH 44118-3818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296459 | Other | CA | CALIFORNIA PHYSICAL THERAPY STATE 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017292 | OH | MD | Orthopedic Physical Therapist |
Interoperability endpoints
- mbauman39325@ehrdirect.uhhospitals.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1629547708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2379 MIRAMAR BLVD",
"city": "UNIVERSITY HEIGHTS",
"state": "OH",
"postal_code": "441183818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SEVERANCE CIR STE 115",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181513",
"telephone_number": "216-381-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMAN",
"first_name": "MAUREEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-18",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OH",
"license": "PT017292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA PHYSICAL THERAPY STATE LICENSE",
"identifier": "296459",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.