Provider Demographics
NPI:1699174516
Name:BAUMEYER, SARAH BROWN (DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BROWN
Last Name:BAUMEYER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 W JEFFERSON ST STE A
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-2760
Mailing Address - Country:US
Mailing Address - Phone:317-736-0660
Mailing Address - Fax:317-736-0636
Practice Address - Street 1:1130 W JEFFERSON ST STE A
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2760
Practice Address - Country:US
Practice Address - Phone:317-736-0660
Practice Address - Fax:317-736-0636
Is Sole Proprietor?:No
Enumeration Date:2014-08-15
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05015022A225100000X
TN10081225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN446631Medicare PIN