Mellissa Leone Bayles, PT, MPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2557 Issued in AZ

Practice address

455 North 3Rd St Suite 200
Phoenix, AZ 85004

Phone

(602) 258-3450

Fax

(602) 258-3439

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093928871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6156 W WAGONER ROAD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-843-3657",
            "fax_number": "602-843-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 NORTH 3RD ST SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85004",
            "telephone_number": "602-258-3450",
            "fax_number": "602-258-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLES",
        "first_name": "MELLISSA",
        "middle_name": "LEONE",
        "name_prefix": "Mrs.",
        "credential": "PT, MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "2557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bay, RN. CPNP
• Bayada Home Health Care, Inc.
• Saeb Bayazid, MD
• Jennifer M Bayer, DDS
• Debra Gregory Bayham, PA
• Jamil Marie Bayless, FNP
• Patricia Bayless, MD
• Parrish Baylis
• Bayoh Behavioral Health Services LLC
• Ryan Nicholas Bays, PT,DPT

• All providers in Phoenix, AZ
• Pediatric Physical Therapist in Arizona

• 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.