Andrew Roger Bayak

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06001452A Issued in IN

Practice address

300 N Washington St
Wakarusa, IN 46573-9590

Phone

(574) 862-4511

NPI assigned

Oct 31, 2022

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

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1992412852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11065 GOLDEN PHEASANT DR",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465618511",
            "telephone_number": "574-607-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST",
            "city": "WAKARUSA",
            "state": "IN",
            "postal_code": "465739590",
            "telephone_number": "574-862-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYAK",
        "first_name": "ANDREW",
        "middle_name": "ROGER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06001452A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Michael Adams, D.C.
• John M Arnold, CP
• At Home Quality Care Non Medical SVC.
• Beacon Medical Group, Inc.
• Renay Ann Bemiller
• Bridget Bobeck, OTR
• Heidi Brown, LMT, RN, CFNC, CNP
• Choose Joy Counseling Services LLC

• All providers in Wakarusa, IN
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.