National Provider Identifier
Jared Bauer, PT, DPT
Jared Bauer, PT, DPT is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Ithaca, NY and a listed phone number of (607) 277-3861.
Profile Overview
- NPI
- 1609464528
- Provider Type
- Individual
- Primary Specialty
- Orthopedic Physical Therapist
- Enumeration Date
- January 06, 2021
- Last Updated
- January 06, 2021
Practice Location
- 310 Taughannock Blvd
- Ithaca, NY 14850-3251
Phone: (607) 277-3861
Specialties
- Orthopedic Physical Therapist (2251X0800X)
Full Record
- NPI
- 1609464528
- Entity Type
- Individual
- Last Name
- Bauer
- First Name
- Jared
- Credential
- PT, DPT
- Mailing Street Address
- 310 Taughannock Blvd
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3251
- Mailing Country
- US
- Practice Street Address
- 310 Taughannock Blvd
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3251
- Practice Country
- US
- Practice Phone
- (607) 277-3861
- Enumeration Date
- January 06, 2021
- Last Updated
- January 06, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 06, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopedic Physical Therapist (2251X0800X)