Pamela Jane Bauer, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1999137759 Issued in MO

Practice address

602 Maple Valley Dr
Farmington, MO 63640-1976

Phone

(573) 756-2999

Fax

(573) 756-6195

NPI assigned

Nov 2, 2009

Last updated

Nov 2, 2009By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Potential Therapy Services LLCGroup PAC ID 5890065361, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Potential Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Ste Genevieve, MO
  • NPI 1104379353
  Medicare reassignment Care Compare group NPD
• Farmington Sports and Rehabilitation Joint Venture

  • Rehabilitation Clinic/Center
  • Farmington, MO
  • NPI 1568513646
  NPD

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1972839579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-2999",
            "fax_number": "573-756-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-2999",
            "fax_number": "573-756-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "PAMELA",
        "middle_name": "JANE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "1999137759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bassett Dentistry LLC (Show Me Dental)
• Caroline Sue Bates, OTR/L
• Susan Battig, LCSW
• Bauer Chiropractic, LLC
• Darrin Michael Bauer, D.C.
• Courtney Bauers
• Sean Vincent Baxter, CRNA
• Kim Bazzell, RN
• BC Missouri Emergency Physicians, LLP
• Jennifer Lynn Beard, MSW

• Occupational Therapist in Farmington, MO
• Providers in Farmington, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.