Organization Active NPI

Bauer's Elite Sports Performance and Physical Therapy

  • Physical Therapist
  • Tea, SD
National Provider Identifier
1902702194
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BAUER'S ELITE SPORTS PERFORMANCE AND PHYSICAL THERAPY
Practice address
2015 Merchant St Ste 6
Tea, SD 57064-2741
Phone
(605) 553-5644
Fax
(844) 333-0265
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Boston Bauer, DPTNPI 1316814528
Title
Owner, DPT
Phone
(605) 553-5644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2015 Merchant St Ste 6
Tea, SD 57064-2741

Mailing address

2015 Merchant St Ste 6
Tea, SD 57064-2741
Phone (605) 553-5644

National Provider Directory

National Provider Directory

Locations

2015 Merchant St
Ste 6
Tea, SD 57064

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1902702194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MERCHANT ST STE 6",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642741",
            "telephone_number": "605-553-5644",
            "fax_number": "844-333-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MERCHANT ST STE 6",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642741",
            "telephone_number": "605-553-5644",
            "fax_number": "844-333-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUER'S ELITE SPORTS PERFORMANCE AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "BOSTON",
        "authorized_official_title_or_position": "OWNER, DPT",
        "authorized_official_telephone_number": "605-553-5644",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tea, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.