Individual provider Active NPI

Craig Tyler Rau, MPT

  • Physical Therapist
  • Bay City, MI
National Provider Identifier
1710987482
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008385 Issued in MI
Practice address
2618 Center Ave
Bay City, MI 48708-6300
Phone
(989) 892-4557
Fax
(989) 892-4686
NPI assigned
Jul 26, 2005
Reactivated
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501008385 MI Primary

Addresses

Primary practice location

2618 Center Ave
Bay City, MI 48708-6300

Mailing address

2618 Center Ave
Bay City, MI 48708-6300
Phone (989) 892-4557

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

State licenses

LicenseStateTypeSpecialty
5501008385MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Rehabilitation-Saginaw, LLC Physical Therapist PastSince Jun 7, 2013 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1710987482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086300",
            "telephone_number": "989-892-4557",
            "fax_number": "989-892-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086300",
            "telephone_number": "989-892-4557",
            "fax_number": "989-892-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAU",
        "first_name": "CRAIG",
        "middle_name": "TYLER",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2011-04-21",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.