Active NPI
Natasha Lee Bailey, DPT
- Physical Therapist
- Paragould, AR
National Provider Identifier
1003871435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2299
- Practice address
- 900 West Kingshighway
Paragould, AR 72450 - Phone
- (870) 239-7188
- Fax
- (870) 239-7288
- NPI assigned
- Apr 19, 2006
- Last updated
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2299 | AR | Primary |
Addresses
Primary practice location
900 West Kingshighway
Paragould, AR 72450
Mailing address
900 West Kingshighway
Paragould, AR 72450
Phone (870) 239-7188
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 743157354 | Other | AR | TAX ID# |
| 5Y742 | Other | AR | BLUECROSS BLUESHIELD # |
| 137061721 | Medicaid | AR |
Other names 1
- Mrs. Natasha Lee Bizzle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2299 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1003871435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WEST KINGSHIGHWAY",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "72450",
"telephone_number": "870-239-7188",
"fax_number": "870-239-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WEST KINGSHIGHWAY",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "72450",
"telephone_number": "870-239-7188",
"fax_number": "870-239-7288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "NATASHA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT2299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "743157354",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD #",
"identifier": "5Y742",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137061721",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NATASHA",
"last_name": "BIZZLE",
"middle_name": "LEE",
"prefix": "MRS.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.