Maxwell Charles Bauer, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT019899 Issued in OH

Practice address

3275 Science Park Dr BLDG 5
Beachwood, OH 44122-7325

Phone

(216) 442-0113

NPI assigned

Oct 23, 2023

Last updated

Oct 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cleveland Clinic Children's Hospital for Rehabilitation

  • Children's Rehabilitation Hospital
  • Cleveland, OH
  • NPI 1033161948
  NPD (past)

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1720860943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 BEAN LN",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137997",
            "telephone_number": "330-907-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 SCIENCE PARK DR BLDG 5",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227325",
            "telephone_number": "216-442-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MAXWELL",
        "middle_name": "CHARLES",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT019899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Bassett, NP
• Bijan Bastani, M.D.
• Preeti Sameera Batchala
• Diana L Batta, LPCC
• Erica Bauer, AGACNP
• Gemma Baugh, LISW
• Emily Bauman, PT, DPT
• Francis A Bauman, LISW-S
• Elayne P Baumgart, PH D
• Beachwood Care Group LLC

• Orthopedic Physical Therapist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Orthopedic Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.