Nancy Alice Olson-Bauer, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2615-024 Issued in WI

Practice address

428 S Washington St
Mondovi, WI 54755-1625

Phone

(715) 926-5177

Fax

(715) 926-5137

NPI assigned

Aug 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.5 of 100Reported as individual

Quality

85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mondovi Physical Therapy,LLC

  • Physical Therapy Clinic/Center
  • Mondovi, WI
  • NPI 1922250539

  WI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1861649196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S WASHINGTON ST",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551625",
            "telephone_number": "715-926-5177",
            "fax_number": "715-926-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S WASHINGTON ST",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551625",
            "telephone_number": "715-926-5177",
            "fax_number": "715-926-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON-BAUER",
        "first_name": "NANCY",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2615-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40065200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey William Moos, DDS
• William R. Moos, D.D.S.
• Mountain Dental of New Mexico PC
• Nancy Polzer Hearing Aid Services
• Jenna Ruth Nehls, PHARMD
• Sandra J Packard, NP
• Lisa Jane Palecek, IHP
• Robert Melvin Pederson, D.D.S.
• Pharmacare LTD
• Pharmacare LTD

• Physical Therapist in Mondovi, WI
• Providers in Mondovi, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.