Individual provider Active NPI

Bailie Hillman

  • Occupational Therapist
  • Azle, TX
National Provider Identifier
1114222395
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
113623 Issued in TX
Practice address
220 S Natural Springs LN
Azle, TX 76020-1379
Phone
(432) 557-8627
NPI assigned
Jan 19, 2011
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 113623 TX Primary

Addresses

Primary practice location

220 S Natural Springs LN
Azle, TX 76020-1379

Mailing address

220 S Natural Springs LN
Azle, TX 76020-1379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820004572 TX Practitioner - Occupational Therapist in Private Practice 2567878499 Reassigns benefits to 1 organization
Practice locations: Azle, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113623TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Navigator Health and Rehabilitation CurrentSince Mar 23, 2026 Accepting new patients
Wound Navigator LLC CurrentSince Jul 1, 2024 Accepting new patients
Certified Dementia Specialist, LLC PastSince Jul 7, 2024 Accepting new patients

Organizations & group practices 3

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": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1114222395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S NATURAL SPRINGS LN",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760201379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S NATURAL SPRINGS LN",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760201379",
            "telephone_number": "432-557-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "BAILIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.