Mrs Kristi Marie Hagen Bauer, MSPT, ATC | |
3506 Thomas Dr, Lakeville, NY 14480-9730 | |
(585) 346-0060 | |
(585) 346-0108 |
Full Name | Mrs Kristi Marie Hagen Bauer |
---|---|
Gender | Female |
Speciality | Physical Therapist - Orthopedic |
Location | 3506 Thomas Dr, Lakeville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639211139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | 026428-1 (New York) | Primary |
2251X0800X | Physical Therapist - Orthopedic | 026428-1 (New York) | Primary |
Provider Name | Physical Therapy Professionals, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083834758 PECOS PAC ID: 1153486485 Enrollment ID: O20090219000409 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristi Marie Hagen Bauer, MSPT, ATC 5114 Lake Rd, Avon, NY 14414-9626 Ph: (585) 226-2187 | Mrs Kristi Marie Hagen Bauer, MSPT, ATC 3506 Thomas Dr, Lakeville, NY 14480-9730 Ph: (585) 346-0060 |
Ms. Robin Crist, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3506 Thomas Dr., Lakeville, NY 14480 Phone: 585-346-0060 | |
Dr. Kevin Walther, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 Fax: 585-346-0108 | |
Andrew V Mattle, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3506 Thomas Drive, Lakeville, NY 14480 Phone: 585-346-0060 Fax: 585-346-0108 | |
Physical Therapy Professionals, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 Fax: 585-346-0108 | |
Amanda Malamud, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 | |
Jennifer Bock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3506 Thomas Dr, Lakeville, NY 14480 Phone: 585-346-0060 |