Vicky Jane Bahmann, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

FLPT15121 Issued in FL

Practice address

36915 Patton Rd
Dade City, FL 33523-1209

Phone

(352) 457-6640

NPI assigned

Jul 21, 2011

Last updated

Aug 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Adventist Health Clearlake Hospital Inc.

  dba Adventist Health Clear Lake

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  NPD (past)
• Clear Lake Physical Therapy Inc

  • Physical Therapist
  • Lakeport, CA
  • NPI 1245295385
  NPD (past)
• Clear Lake Physical Therapy Inc

  • Physical Therapist
  • Clearlake, CA
  • NPI 1477502912
  NPD (past)
• Danarose Corp

  • Physical Therapist
  • Blythe, CA
  • NPI 1457660052
  NPD (past)

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1851679088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36915 PATTON ROAD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "33523",
            "telephone_number": "352-457-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36915 PATTON RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335231209",
            "telephone_number": "352-457-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHMANN",
        "first_name": "VICKY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MA",
            "license": "19646",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "FLPT15121",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "CAPT38645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889589900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Senior Living of Dade City FL LLC (Edwinola Retirement Community)
• Patricia Diamond Anderson
• Angels Unique LLC.
• Avec Therapy Services LLC
• Lieinys Badillo Cintra, PHLEBOTOMY
• Katrina Rose Bailey, LCSW, CADAC II
• Rosario Bala, MD
• Samari Ballantyne
• Stefanie Baptiste
• Froilan Barinas, DDS

• Physical Medicine & Rehabilitation Physician in Dade City, FL
• Providers in Dade City, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.