Active NPI
Timothy J Baumann, OTA
- Occupational Therapy Assistant
- Beaver Dam, WI
National Provider Identifier
1790089795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 399-27
- Practice address
- W9018 County Rd S
Beaver Dam, WI 53916-9680 - Phone
- (608) 429-2181
- NPI assigned
- Jan 5, 2011
- Last updated
- Jan 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 399-27 | WI | Primary |
Addresses
Primary practice location
W9018 County Rd S
Beaver Dam, WI 53916-9680
Mailing address
W9018 County Rd S
Beaver Dam, WI 53916-9680
Phone (608) 429-2181
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 399-27 | WI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Summit LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Skilled Nursing Facility
- Oconomowoc, WI
- NPI 1033637889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1790089795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W9018 COUNTY RD S",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539169680",
"telephone_number": "608-429-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W9018 COUNTY RD S",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539169680",
"telephone_number": "608-429-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMANN",
"first_name": "TIMOTHY",
"middle_name": "J",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-05",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "399-27",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaver Dam, WI
- Mark A Barrette, DDS
- David C Barton, DO
- Michelle J Bartzen, PA-C
- Seth Mathew Barudin, MD
- Susan Marie Baumann, OTR
- Devyn Beaugh, PHARM.D.
- Beaver Dam Al Operations LLC
- Beaver Dam Assisted Living, LLC (Beaver Dam Assisted Living and Memory Care)
- Beaver Dam Community Hospitals Inc (Marshfield Medical Center - Beaver Dam)
- Beaver Dam Community Hospitals Inc ((inactive) Marshfield Medical Center - Beaver Dam Hospitalist Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.