Brandon Jason Baumgardner, MSOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119005285 Issued in VA

Practice address

165 Peppers Ferry Rd
Wytheville, VA 24382-2070

Phone

(276) 223-5400

Fax

(276) 223-5454

NPI assigned

Mar 26, 2013

Last updated

Mar 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1932441003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PEPPERS FERRY RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822070",
            "telephone_number": "276-223-5400",
            "fax_number": "276-223-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 PEPPERS FERRY RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822070",
            "telephone_number": "276-223-5400",
            "fax_number": "276-223-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARDNER",
        "first_name": "BRANDON",
        "middle_name": "JASON",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA",
            "identifier": "0119005285",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert L Aymer, D.O.
• Sydney Kathryn Baer, OTR/L
• Gene Arnold Bailey Jr., PAC
• Jennifer Hardin Bailey, LPC
• Ashley Ball
• Lori Watson Baumgardner, RD
• Kyndal Ann Beavers, MD
• Janet E. Bechtel, DPM
• Jennifer Lynn Bennett Grube, MD
• Ashley Marie Bennett, PBSF

• Occupational Therapist in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.