MRS. KRISTI MARIE HAGEN BAUER (NPI# 1639211139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639211139 |
Entity Type | Individual |
Full Name | MRS. KRISTI MARIE HAGEN BAUER |
Credential | MSPT, ATC |
Practice Address |
3506 Thomas Dr Lakeville NY 14480-9730 |
Mailing Address |
5114 Lake Rd Avon NY 14414-9626 |
Practice Telephone | 5853460060 |
Practice Fax Number | 5853460108 |
Mailing Telephone | 5852262187 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2251S0007X |
Physical Therapist Specialization: Sports |
026428-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
026428-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710080064 | Kristi Anne Bauer | Specialist | 2979 Foxmoor Dr, Montgomery, IL 60538-4092 | 2006-09-05 |
1285132290 | Kristi Bauer | Physical Therapist | 10503 W Thunderbird Blvd Ste 263a, Sun City, AZ 85351-3048 | 2018-01-24 |
Street Address |
3506 THOMAS DR |
City | LAKEVILLE |
State | NY |
Zip Code | 14480-9730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750939542 | Taylor Marie Pestle | Physical Therapist | 3506 Thomas Dr, Lakeville, NY 14480-9730 | 2019-08-27 |
1720599913 | David Storms | Physical Therapist | 3506 Thomas Dr, Lakeville, NY 14480-9730 | 2017-10-16 |
1033652367 | Kevin Walther | Physical Therapist | 3506 Thomas Dr, Lakeville, NY 14480-9730 | 2016-11-18 |
1699229500 | Jennifer Bock | Physical Therapist | 3506 Thomas Dr, Lakeville, NY 14480-9730 | 2016-08-09 |
1598122822 | Amanda Malamud | Physical Therapist | 3506 Thomas Dr, Lakeville, NY 14480-9730 | 2016-01-18 |
1770896862 | Sarah Spooner | Physical Therapist | 3506 Thomas Dr, Lakeville, NY 14480-9730 | 2010-07-19 |
1811190440 | Daniel Edward Simmons | Physical Therapist | 3506 Thomas Dr, Lakeville, NY 14480-9730 | 2007-06-10 |
1083834758 | Physical Therapy Professionals, PC | Physical Therapist | 3506 Thomas Dr, Lakeville, NY 14480-9730 | 2007-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386031664 | Brenda Flores Sousa | Dentist | 6003 Big Tree Rd., Lakeville, NY 14480 | 2015-04-23 |
1295810802 | Nancy J Mulvaney | Pharmacist | 5975 Big Tree Rd., Lakeville, NY 14480 | 2006-10-25 |
1013979772 | Robin Crist | Physical Therapist | 3506 Thomas Dr., Lakeville, NY 14480 | 2006-04-06 |
1063488948 | Andrew V Mattle | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-02-28 |
1386094076 | State of New York Comptrollers Office | Clinic/Center | 3505 Thomas Dr, Livonia, NY 14480 | 2016-06-14 |
1356445662 | Lisa N. Mckay | Pharmacist | 5975 Big Tree Rd, Lakeville, NY 14480 | 2006-09-08 |
1871556795 | Aaron Charles Borden | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-04-11 |
1740256627 | Dawn M Mattle | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-02-28 |
1689736746 | Livonia Lakeville Pharmacy Inc | Pharmacy | 5975 Big Tree Rd, Lakeville, NY 14480-0414 | 2006-12-15 |
1114977741 | John Alker | Anesthesiology | 3518 Pebble Beach Rd, Lakeville, NY 14480-9708 | 2006-05-12 |
Find all providers in zip 14480 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578594792 | Maurie S Steinley | Physical Therapist | 10450 185th St W, Lakeville, MN 55044-6686 | 2006-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902412711 | Nicole Erin | Physical Therapist | 780 8th Ave Ste 300, New York, NY 10036-7000 | 2020-09-17 |
1457983405 | Set Physical Therapy Pllc | Physical Therapist | 211 E 43rd St Rm 1101, New York, NY 10017-4769 | 2020-02-07 |
1750929725 | Rock Pt Rehab | Physical Therapist | 16 E 48th St # 6f, New York, NY 10017-1017 | 2019-12-20 |
1821642109 | Seguia & Eleazar Physical Therapy Pllc | Physical Therapist | 403 E 91st St Fl 4, New York, NY 10128-6800 | 2019-07-25 |
1942853981 | Precision Physical Therapy and Sports Medicine Pllc | Physical Therapist | 1469 State Route 7, Richmondville, NY 12149 | 2019-07-18 |
1982260915 | Celebi & Smith Pt Pllc | Physical Therapist | 50 Austin Blvd, Commack, NY 11725-5723 | 2019-05-15 |
1760962062 | Michael James Hannett | Physical Therapist | 278 W 81st St, New York, NY 10024-5728 | 2018-08-16 |
1770079550 | Suarez Sport & Orthopedic Physical Therapy Pllc | Physical Therapist | 201 Beryl Way, Watervliet, NY 12189-2970 | 2018-07-05 |
1992254585 | Maurizio A Llin Pt PC | Physical Therapist | 4029 168th St, Flushing, NY 11358-2630 | 2016-09-24 |
1831558139 | Derek Mansfield | Physical Therapist | 145 Palisade St Ste 200, Dobbs Ferry, NY 10522 | 2016-02-15 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.