Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bailey Marie Waldhauser

Individual provider Behavior Technician · NPI 1982315727

Bailey Marie Waldhauser is an Occupational Therapist in Private Practice in Bloomington, Minnesota. Qualified in 2024, 2 years ago. Practices with Odom Sports Medicine PA, a 69-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2022
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Practice location Address checks out

3800 American Blvd W Ste 740
Bloomington, MN 55431-4422
Phone: (612) 925-8365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1982315727
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2022
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022
Mailing address3800 American Blvd W Ste 740, Bloomington, MN 55431-4422

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Odom Sports Medicine Pa — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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