Active NPI
Kelsey Bauman, CTRS
- Recreation Therapist
- Phoenix, AZ
National Provider Identifier
1942845862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 87308
- Practice address
- 2148 E Desert LN
Phoenix, AZ 85042-6916 - Phone
- (623) 210-2803
- NPI assigned
- Nov 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 87308 | AZ | Primary |
Addresses
Primary practice location
2148 E Desert LN
Phoenix, AZ 85042-6916
Mailing address
2148 E Desert LN
Phoenix, AZ 85042-6916
Phone (623) 210-2803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87308 | AZ | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1942845862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2148 E DESERT LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850426916",
"telephone_number": "623-210-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2148 E DESERT LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850426916",
"telephone_number": "623-210-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMAN",
"first_name": "KELSEY",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-14",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "AZ",
"license": "87308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.