Individual provider Active NPI

Ley Bayani

  • Geriatric Physical Therapist
  • Memphis, TN
National Provider Identifier
1104674258
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
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

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 399 clinicians

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

LicenseStateTypeSpecialty
3430TNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Current Accepting new patients
Aegis Group Practice LLC CurrentSince May 3, 2024 Accepting new patients
Aegis Group Practice LLC CurrentSince May 3, 2024 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.

View all 26

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.

Verify at the official NPI Registry.