Mind Body OT LLC
NPI 1972063691 · Rehabilitation Clinic/Center · Beaver Dam, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mind Body OT LLC is a Rehabilitation Clinic/Center organization in Beaver Dam, WI (NPI 1972063691).
Provider details
- NPI number
- 1972063691
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Baumann, Owner(920) 763-3534
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-03-20
- Last updated
- 2019-03-21
Frequently asked questions
- What is Mind Body OT LLC's NPI number?
- Mind Body OT LLC's National Provider Identifier (NPI) is 1972063691, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind Body OT LLC?
- Mind Body OT LLC is classified in the NPPES registry as Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mind Body OT LLC located?
- Mind Body OT LLC's practice location on file with NPPES is 201 Gateway Dr., Beaver Dam, WI 53916-9176.
- What is Mind Body OT LLC's phone number?
- The practice phone number listed in the NPPES registry for Mind Body OT LLC is (920) 763-3534.
- Does Mind Body OT LLC accept Medicare?
- Mind Body OT LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mind Body OT LLC?
- The authorized official listed on Mind Body OT LLC's NPPES record is Susan Baumann, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind Body OT LLC's NPI active?
- Yes — Mind Body OT LLC's NPI (1972063691) is active in the NPPES registry as of the last update on 2019-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.