Tyler Baumhoer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2013025652 Issued in MO

Practice address

1101 W Clay Rd
Versailles, MO 60584

Phone

(573) 378-5411

NPI assigned

Dec 17, 2014

Last updated

Dec 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1710385109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W CLAY RD",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W CLAY RD",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "60584",
            "telephone_number": "573-378-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMHOER",
        "first_name": "TYLER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2013025652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelman & Associates, Inc
• Steven J Adelman, PSYD
• Nora Stephan Appelbaum, CPNP
• Sophia D Aycock, MS, PLPC
• Nicole C Bailey, RN
• Matthew Bell
• Renae M Belt, LMSW
• Brookside Casa Isl
• Madison Brown
• Jennifer Dawn Buckingham, FNP-C

• Physical Therapy Assistant in Versailles, MO
• Providers in Versailles, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.