NPIMap

Organization Active NPI

Bauer Rehabilitation Services LLC

  • Physical Therapist
  • Midland, MI
National Provider Identifier
1740298702
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010076 Issued in MI
Legal business name
BAUER REHABILITATION SERVICES LLC
Practice address
2203 Candlestick LN
Midland, MI 48642-3165
Phone
(989) 430-9457
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Pamela Bauer
Title
Owner
Phone
(989) 430-9457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501010076 MI Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 5201004579 MI

Addresses

Primary practice location

2203 Candlestick LN
Midland, MI 48642-3165

Mailing address

2203 Candlestick LN
Midland, MI 48642-3165

Other identifiers 2

IdentifierTypeStateIssuer
650E610560OtherMIBLUE CROSS BLUE SHIELD MI
DB0668OtherMIMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1740298702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 CANDLESTICK LN",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486423165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 CANDLESTICK LN",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486423165",
            "telephone_number": "989-430-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUER REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-430-9457"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010076",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004579",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "650E610560",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DB0668",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.