Healthcare Provider Details

I. General information

NPI: 1538027552
Provider Name (Legal Business Name): DAKOTA BAUER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1770 BATHGATE RD
BETHLEHEM PA
18017-7334
US

IV. Provider business mailing address

660 W BERGER ST
EMMAUS PA
18049-2134
US

V. Phone/Fax

Practice location:
  • Phone: 484-884-2251
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT033792
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: