MIND BODY OT LLC
NPI 1972063691
Clinic/Center - Rehabilitation in Beaver Dam, WI

Active since March 20, 2019
201 GATEWAY DR., STE 300, BEAVER DAM, WI 53916(920) 763-3534 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mind Body Ot Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND BODY OT LLC (NPI 1972063691) is a healthcare organization registered as a rehabilitation in Beaver Dam, Wisconsin and active in the NPI registry since March 2019. The organization lists Susan M Baumann, Owner, as its authorized official.

NPPES Registry Identity

NPI1972063691
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameMIND BODY OT LLC
Location Address201 GATEWAY DR., STE 300Beaver Dam, WI 53916-9176
Mailing AddressW9018 County Rd SBeaver Dam, WI 53916-9680 · (920) 763-3534
Organization SubpartNo
Authorized OfficialSusan M BaumannOwner · (920) 763-3534
Enumeration DateMarch 20, 2019
Last NPPES UpdateMarch 21, 2019
NPI 1972063691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
201 GATEWAY DR., Beaver Dam, WI 53916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Body Ot LLC's NPI number?

The NPI number for Mind Body Ot LLC is 1972063691. It was assigned to this organization in the NPPES registry on March 20, 2019.

Where is Mind Body Ot LLC located?

Mind Body Ot LLC is located at 201 Gateway Dr. Ste 300, Beaver Dam, WI 53916. The listed phone number is (920) 763-3534.

What is Mind Body Ot LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Mind Body Ot LLC was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.