Active NPI
Kristi Anne Bauer, OT
- Occupational Therapist
- Dunlap, IL
National Provider Identifier
1710080064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1525 W Meadowview Dr
Dunlap, IL 61525-9004 - Phone
- (309) 648-9161
- NPI assigned
- Sep 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 056.004578 | IL | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1525 W Meadowview Dr
Dunlap, IL 61525-9004
Mailing address
1525 W Meadowview Dr
Dunlap, IL 61525-9004
Phone (309) 648-9161
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.004578 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1710080064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 W MEADOWVIEW DR",
"city": "DUNLAP",
"state": "IL",
"postal_code": "615259004",
"telephone_number": "309-648-9161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 W MEADOWVIEW DR",
"city": "DUNLAP",
"state": "IL",
"postal_code": "615259004",
"telephone_number": "309-648-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "KRISTI",
"middle_name": "ANNE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "056.004578",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunlap, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.