Abby Bauman
Individual provider Active NPI Occupational Therapist · Waconia, MN
NPI 1720868326 · NPPES record last updated Oct 2, 2023
Key facts
- NPI
- 1720868326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 9346 Oak Ave
Waconia, MN 55387-9422 - Phone
- (952) 223-2506
- NPI assigned
- Oct 2, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231023001964 | MN | Practitioner - Occupational Therapist in Private Practice | 2264888551 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnydays Therapy Inc | Occupational Therapist | Current |
Accepting new patients |
Locations
15265 Minnetonka Blvd
Minnetonka, MN 55345
9346 Oak Ave
Waconia, MN 55387
Phone (952) 442-5812
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
9346 Oak Ave
Waconia, MN 55387-9422
Mailing address
9346 Oak Ave
Waconia, MN 55387-9422
Other providers in Waconia, MN
- Cynthia Barfknecht
- Robert McCellan Barnett Jr.
- Kendra Maria Bartsch
- Kalyn Bassett
- Grace Bates
- Erika Noel Beal
- Ashley Rose Beckman
- Being While Becoming, LLC
- John E Beithon
- Andrea Lynn Benjamin
All providers in Waconia, MN · Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.