Emily Baumann, PT, DPT
Individual provider Active NPI Physical Therapist · Coppell, TX
NPI 1801440680 · NPPES record last updated Jul 30, 2019
Key facts
- NPI
- 1801440680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA01866600 (NJ)
- Practice address
- 3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473 - Phone
- (866) 221-5405
- NPI assigned
- Jul 30, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Progressive Physical Therapy
Practice addresses (Care Compare)
135 W Dimond Blvd
Suite 101
Anchorage, AK 99515-1907
Phone (907) 748-0022
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200915002275 | AK | Practitioner - Physical Therapist in Private Practice | 6305177197 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01866600 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Sports and Orthopedic Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Progressive Physical Therapy | Physical Therapist | Current |
Accepting new patients |
Locations
11260 Old Seward Hwy
Anchorage, AK 99515
Phone (907) 341-5555
718 K St
Ste D
Anchorage, AK 99501
Phone (907) 748-0022
135 W Dimond Blvd
Ste 101
Anchorage, AK 99515
Phone (907) 748-0022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01866600 | NJ | Yes |
Addresses
Primary practice location
3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Mailing address
204 Arbor St
Cranford, NJ 07016-2004
NPI Registry JSON
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1801440680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 ARBOR ST",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070162004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 OLYMPUS BLVD STE 500",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195473",
"telephone_number": "866-221-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMANN",
"first_name": "EMILY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-30",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01866600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2019. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.