Active NPI
Ley Bayani
- Geriatric Physical Therapist
- Memphis, TN
National Provider Identifier
1104674258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- Practice address
- 6551 Knight Arnold Road Ext
Memphis, TN 38115-5626 - Phone
- (901) 563-2210
- NPI assigned
- May 13, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | Primary |
Addresses
Primary practice location
6551 Knight Arnold Road Ext
Memphis, TN 38115-5626
Mailing address
1400 Trail Hill CV
Cordova, TN 38016-6679
Phone (901) 283-3401
Other practice location 1
3933 Allenbrooke Cv
Memphis, TN 38118-1866
Phone (901) 795-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240712000199 | TN | Practitioner - Physical Therapist in Private Practice | 2264977487 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aegis Group Practice LLC
Practice addresses (Care Compare)
6300 Briarcrest Ave
Memphis, TN 38120-4085
Phone (901) 883-0223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3430 | TN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Current | Accepting new patients | |
| Aegis Group Practice LLC | Current | Accepting new patients | |
| Aegis Group Practice LLC | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
6300 Briarcrest Ave
Memphis, TN 38120
Phone (901) 386-3211
Organizations & group practices 26
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.
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- NPI 1306336565
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1104674258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 TRAIL HILL CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380166679",
"telephone_number": "901-283-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6551 KNIGHT ARNOLD ROAD EXT",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381155626",
"telephone_number": "901-563-2210"
}
],
"practiceLocations": [
{
"address_1": "3933 Allenbrooke Cv",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381181866",
"country_code": "US",
"telephone_number": "901-795-2444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAYANI",
"first_name": "LEY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.