Active NPI
Chantal Rea Bougie Bauer
- Physical Therapist
- Neenah, WI
National Provider Identifier
1679207591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15807
- Practice address
- 1516 S Commercial St
Neenah, WI 54956-4802 - Phone
- (920) 831-5050
- NPI assigned
- Jul 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 15807 | WI | Primary |
Addresses
Primary practice location
1516 S Commercial St
Neenah, WI 54956-4802
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 831-5050
Other practice location 1
4 Hampton Hall Blvd
Bluffton, SC 29910-7812
Phone (843) 837-1930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 80.01
- Improvement activities
- 40
- Cost
- 73.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15807 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corbett Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
60 Colleton River Dr
Bluffton, SC 29910
Phone (843) 837-1930
4 Hampton Hall Blvd
Bluffton, SC 29910
Phone (843) 837-1930
Interoperability endpoints
- cbauer340348@direct.thedacare.org
Organizations & group practices 1
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 Therapist
- Bluffton, SC
- NPI 1518266543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1679207591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NEENAH CTR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563070",
"telephone_number": "920-831-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 S COMMERCIAL ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549564802",
"telephone_number": "920-831-5050"
}
],
"practiceLocations": [
{
"address_1": "4 Hampton Hall Blvd",
"address_purpose": "LOCATION",
"city": "Bluffton",
"state": "SC",
"postal_code": "299107812",
"country_code": "US",
"telephone_number": "843-837-1930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUER",
"first_name": "CHANTAL REA",
"middle_name": "BOUGIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "15807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.