Kristi Marie Hagen Bauer, MSPT, ATC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

026428-1 Issued in NY

Practice address

3506 Thomas Dr
Lakeville, NY 14480-9730

Phone

(585) 346-0060

Fax

(585) 346-0108

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physical Therapy Professionals, PC

  • Physical Therapist
  • Lakeville, NY
  • NPI 1083834758
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639211139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 LAKE RD",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144149626",
            "telephone_number": "585-226-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 THOMAS DR",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809730",
            "telephone_number": "585-346-0060",
            "fax_number": "585-346-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "KRISTI",
        "middle_name": "MARIE HAGEN",
        "name_prefix": "Mrs.",
        "credential": "MSPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "026428-1",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "026428-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acupuncture and Massage of Western New York PC
• Anne M Aguirre, NP
• Richard S Aguirre, MD
• John Alker, MD
• Valerie P Beecher, M.S.ED.,CCC-SLP
• John Paul Belbas, D.D.S.
• Jennifer Bock
• Aaron Charles Borden, PT
• Caitlin Simpson Chiropractic PLLC

• Sports Physical Therapist in Lakeville, NY
• Providers in Lakeville, NY by specialty
• Sports Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.