Timothy J Baumann, OTA
Individual provider Active NPI Occupational Therapy Assistant · Beaver Dam, WI
NPI 1790089795 · NPPES record last updated Jan 5, 2011
Key facts
- NPI
- 1790089795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 399-27 (WI)
- Practice address
- W9018 County Rd S
Beaver Dam, WI 53916-9680 - Phone
- (608) 429-2181
- NPI assigned
- Jan 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 399-27 | WI | Yes |
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
Other providers in Beaver Dam, WI
- Mark A Barrette
- David C Barton
- Michelle J Bartzen
- Seth Mathew Barudin
- Susan Marie Baumann
- Devyn Beaugh
- Beaver Dam Al Operations LLC
- Beaver Dam Assisted Living, LLC
- Beaver Dam Community Hospitals Inc
- Beaver Dam Community Hospitals Inc
All providers in Beaver Dam, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.