Nicole Elizabeth Baisley, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01336800 Issued in NJ

Practice address

200 Somerset St
New Brunswick, NJ 08901-1942

Phone

(732) 258-7403

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Therapy and ChiropracticGroup PAC ID 3375934987, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Therapy and Chiropractic

  • Chiropractor
  • Riverdale, NJ
  • NPI 1699431395

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1013053123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132B BROOK VALLEY RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074053319",
            "telephone_number": "813-784-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOMERSET ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011942",
            "telephone_number": "732-258-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAISLEY",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 19385",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01336800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anoosha Baddi, D.O.
• Preeti Badve, MD
• Aishee Bag
• Kathryn Bagnardi, PA-C
• Kandy Bahadur
• Jasmeet Singh Bajaj, MD
• Muhammad Talha Bajwa
• Mark Douglas Baker, MD
• Neshi Bakshi
• Archana Balamohan, M.D.

• Physical Therapist in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.