MEDICARE: DOROTHY K BAUER OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT.0006161	CO

General Provider Information

NPI Number	:	1598316051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHY K BAUER OTR/L

Provider Business Mailing Address
First Line	:	1785 NIGHTFALL DR
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80550-3489
Country	:	US
Telephone Number	:	970-460-6762
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 OAKRIDGE DR UNIT 105
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-9651
Country	:	US
Telephone Number	:	970-460-6762
Fax Number	:	970-680-7250

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2019
Last Update Date	:	01/30/2025

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