Ian W Bauersfeld (NPI# 1003394099, PAC ID# 5193060986) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1003394099 |
| PAC ID by PECOS | 5193060986 |
| Professional Enrollment ID | I20181226000829 |
| Full Name | Ian W Bauersfeld |
| Organization Legal Name | PERFORMANCE PHYSICAL THERAPY AND SPORTS REHAB INC |
| Address |
277 State St Brewer ME 04412-1535 |
| Phone Number | 2079224900 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1052632932 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 277 State St, Brewer, ME 04412-1535 | 2079224900 | PERFORMANCE PHYSICAL THERAPY AND SPORTS REHAB INC |
| Organization Legal Name | PERFORMANCE PHYSICAL THERAPY AND SPORTS REHAB INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kolby Arnold | Physical Therapy | Performance Physical Therapy and Sports Rehab Inc | 277 State St, Brewer, ME 04412-1535 |
| Danielle Kissinger | Physical Therapy | Performance Physical Therapy and Sports Rehab Inc | 277 State St, Brewer, ME 04412-1535 |
| Bradley L Libby | Physical Therapy | Performance Physical Therapy and Sports Rehab Inc | 277 State St, 1b, Bangor, ME 04401-5440 |
| Matthew Dunning | Physical Therapy | Performance Physical Therapy and Sports Rehab Inc | 277 State St, Brewer, ME 04412-1535 |
| Martina P. Bosse | Physical Therapy | Performance Physical Therapy and Sports Rehab Inc | 277 State St, 1b, Bangor, ME 04401-5440 |
| Brett R Bradford | Physical Therapy | Performance Physical Therapy and Sports Rehab Inc | 277 State St, Bangor, ME 04401-5440 |
| Street Address |
277 STATE ST |
| City | BREWER |
| State | ME |
| Zip | 04412-1535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kolby Arnold | Physical Therapy | Performance Physical Therapy and Sports Rehab Inc | 277 State St, Brewer, ME 04412-1535 |
| Royal G Grueneich | Psychologist, Clinical | Neuropsychology Service Pa | 277 State St, 2a, Bangor, ME 04401-5440 |
| Marjorie B Snyder | Psychiatry | 277 State St, Suite 2a, Bangor, ME 04401-5440 | |
| Lola C Bogyo | Psychologist, Clinical | Neuropsychology Service Pa | 277 State St, 2a, Bangor, ME 04401-5440 |
| Danielle Kissinger | Physical Therapy | Performance Physical Therapy and Sports Rehab Inc | 277 State St, Brewer, ME 04412-1535 |
| Bradley L Libby | Physical Therapy | Performance Physical Therapy and Sports Rehab Inc | 277 State St, 1b, Bangor, ME 04401-5440 |
| Matthew Dunning | Physical Therapy | Performance Physical Therapy and Sports Rehab Inc | 277 State St, Brewer, ME 04412-1535 |
| Martina P. Bosse | Physical Therapy | Performance Physical Therapy and Sports Rehab Inc | 277 State St, 1b, Bangor, ME 04401-5440 |
| Brett R Bradford | Physical Therapy | Performance Physical Therapy and Sports Rehab Inc | 277 State St, Bangor, ME 04401-5440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Lepage | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Deborah A Six | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Simon Sjostedt | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Hali Meehan | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Christina Morris | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Jeffrey Walton | Physical Therapy | Back In Motion Physical Therapy LLC | 797 Wilson St, Brewer, ME 04412-1000 |
| Carol Lane | Physical Therapy | Results Physical and Occupational Therapy | 797 Wilson St, Brewer, ME 04412-1000 |
| James Castleman | Physical Therapy | Results Physical and Occupational Therapy | 797 Wilson St, Brewer, ME 04412-1000 |
| Maegan L. Woodman | Nurse Practitioner | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Cameron Goller | Nurse Practitioner | Penobscot Community Health Center | 735 Wilson St, Brewer Medical Center, Brewer, ME 04412-1003 |
| Find all physicians in zip 04412 | |||
| City | BREWER |
| Zip Code | 04412 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BREWER + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Ian W Bauersfeld.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.