Shane D. Bauer, P.T.
NPI 1144200676ActiveIndividual· Physical Therapist· Fond Du Lac, WI
Physical Therapist (P.T.) with Advanced Physical Therapy and Sports Medicine SC, practicing in Fond Du Lac, Wisconsin. Medicare paid $25,422 for services to 36 patients in 2024.
Overview
| NPI | 1144200676 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | No |
| NPI issued | Jan 19, 2006 |
| Last updated in NPPES | Jul 11, 2025 |
| Certified by provider | Jul 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5173-024 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 1,315 across 8 procedure codes |
| Paid by Medicare | $25,422 |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Advanced Physical Therapy and Sports Medicine SCAppleton, WI · 61 clinicians
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