Individual provider Active NPI

Christopher M Bailey, DPT

  • Orthopedic Physical Therapist
  • Erie, PA
National Provider Identifier
1053508630
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT018940 Issued in PA
Practice address
6000 W Ridge Rd
Erie, PA 16506-1040
Phone
(814) 315-3998
Fax
(814) 315-2557
NPI assigned
Sep 27, 2007
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT018940 PA
Orthopedic Physical Therapist 2251X0800X PT018940 PA Primary

Addresses

Primary practice location

6000 W Ridge Rd
Erie, PA 16506-1040

Mailing address

512 E Columbus Ave
Corry, PA 16407-9014
Phone (814) 664-9346

Other practice location 1

512 E Columbus Ave
Corry, PA 16407-9014
Phone (814) 664-9346

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WebPT

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
PT018940PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Therapeutics and Physical Therapy, Inc Specialist Current Accepting new patients

Locations

512 E Columbus Ave
Corry, PA 16407
Phone (814) 664-9346

6000 W Ridge Rd
Ste A
Erie, PA 16506
Phone (814) 315-3998

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1053508630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E COLUMBUS AVE",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164079014",
            "telephone_number": "814-664-9346",
            "fax_number": "814-663-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W RIDGE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061040",
            "telephone_number": "814-315-3998",
            "fax_number": "814-315-2557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 E Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Corry",
            "state": "PA",
            "postal_code": "164079014",
            "country_code": "US",
            "telephone_number": "814-664-9346",
            "fax_number": "814-663-0169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT018940",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT018940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "6000 W Ridge Rd",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165061040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.