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

Mr. Richard K Bauersfeld, PT

Individual provider Physical Therapist · NPI 1912915208

Mr. Richard K Bauersfeld, PT is a Physical Therapist in Private Practice in Bloomington, Illinois. Qualified in 1980, 46 years ago. Practices with Carle West Physician Group Inc, a 285-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
46
Licensed in
IL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1111 Trinity Ln Ste 111
Bloomington, IL 61704-3738
Phone: (309) 663-6461
Fax: (309) 661-8107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070003368 (IL)

Record details

NPI number1912915208
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESApril 20, 2022
Certification dateApril 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Carle West Physician Group Inc — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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