Individual provider · Type 1 NPI

Kristi Marie Hagen Bauer, MSPT, ATC

Sports Physical Therapist · Lakeville, NY

NPI number 1639211139 Active

Practice location

3506 Thomas Dr
Lakeville, NY 14480-9730

Fax (585) 346-0108

Mailing address

5114 Lake Rd
Avon, NY 14414-9626

Specialties and licenses

TaxonomyCodeLicense
Sports Physical Therapist Primary 2251S0007X026428-1 (NY)
Orthopedic Physical Therapist 2251X0800X026428-1 (NY)

Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…

9 other providers at this address

About NPI 1639211139

Kristi Marie Hagen Bauer, MSPT, ATC's National Provider Identifier is 1639211139, issued on Feb 12, 2007. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Lakeville, NY. The record was last updated on Sep 11, 2025.