Individual provider Active NPI

James H Bailor, LMT, NCTMB, MMT

  • Specialist
  • Syracuse, NY
National Provider Identifier
1053469742
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
010486 Issued in NY
Practice address
315 Bridge St
Syracuse, NY 13209-1505
Phone
(315) 487-2225
Fax
(315) 487-2225
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 010486 NY Primary

Addresses

Primary practice location

315 Bridge St
Syracuse, NY 13209-1505

Mailing address

315 Bridge St
Syracuse, NY 13209-1505
Phone (315) 487-2225

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010486NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053469742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 BRIDGE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091505",
            "telephone_number": "315-487-2225",
            "fax_number": "315-487-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BRIDGE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091505",
            "telephone_number": "315-487-2225",
            "fax_number": "315-487-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILOR",
        "first_name": "JAMES",
        "middle_name": "H",
        "credential": "LMT, NCTMB, MMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "010486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.