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Alyssa Rose Bauman, MS, OTR/L

Occupational Therapist in Phoenix, AZ. Individual provider (NPI-1).

NPI number1699329326
StatusActive
Last updated in NPPESJul 31, 2019

Details

NPI
1699329326
Entity type
Individual (NPI-1)
Name
Alyssa Rose Bauman
Credential
MS, OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 31, 2019
Last updated
Jul 31, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes

Practice location

21630 N 19th Ave Ste B3
Phoenix, AZ 85027-2717

Phone 248-894-7815

Mailing address

392 W Carob Dr
Chandler, AZ 85248-4518

Phone 248-894-7815

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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