Active NPI
Timothy Bronson Bausch, DPT
- Physical Therapist
- Lincoln, NE
National Provider Identifier
1689808206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1970
- Practice address
- 5401 South St
Lincoln, NE 68506-2150 - Phone
- (402) 483-9534
- Fax
- (402) 486-9098
- NPI assigned
- May 11, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1970 | NE | Primary |
Addresses
Primary practice location
5401 South St
Lincoln, NE 68506-2150
Mailing address
5401 South St
Lincoln, NE 68506-2150
Phone (402) 483-9534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470439599-02 | Medicaid | NE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1689808206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062150",
"telephone_number": "402-483-9534",
"fax_number": "402-486-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062150",
"telephone_number": "402-483-9534",
"fax_number": "402-486-9098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUSCH",
"first_name": "TIMOTHY",
"middle_name": "BRONSON",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-11",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470439599-02",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.