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

Mr. Shane D Bauer, PT

Individual provider Physical Therapist · NPI 1144200676

Mr. Shane D Bauer, PT is a Physical Therapist in Private Practice in Fond Du Lac, Wisconsin. Qualified in 1995, 31 years ago. Practices with Advanced Physical Therapy and Sports Medicine SC, a 61-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
31
Licensed in
WI
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

101 Camelot Dr Ste 4
Fond Du Lac, WI 54935-8048
Phone: (920) 929-9712
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5173-024 (WI)

Record details

NPI number1144200676
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 19, 2006
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing address2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Advanced Physical Therapy And Sports Medicine Sc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fond Du Lac