Provider Demographics
NPI:1720255573
Name:BAUGH, TOMMIE JAMES III (PT, FAAOMPT)
Entity Type:Individual
Prefix:MR
First Name:TOMMIE
Middle Name:JAMES
Last Name:BAUGH
Suffix:III
Gender:M
Credentials:PT, FAAOMPT
Other - Prefix:
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Mailing Address - Street 1:3508 FAR WEST BLVD
Mailing Address - Street 2:STE 240
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-2281
Mailing Address - Country:US
Mailing Address - Phone:512-832-9411
Mailing Address - Fax:512-832-9401
Practice Address - Street 1:3508 FAR WEST BLVD STE 240
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731
Practice Address - Country:US
Practice Address - Phone:512-832-9411
Practice Address - Fax:512-832-9401
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1159397225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist