Individual provider Active NPI

Denise L Bailey, PT

  • Physical Therapist
  • Sugar Grove, IL
National Provider Identifier
1124072012
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070016823 Issued in IL
Practice address
38 S Main St
Suites a B
Sugar Grove, IL 60554-5031
Phone
(630) 466-5866
Fax
(630) 466-5869
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070016823 IL Primary

Addresses

Primary practice location

38 S Main St
Suites a B
Sugar Grove, IL 60554-5031

Mailing address

38 S Main St
Suites a B
Sugar Grove, IL 60554-5031
Phone (630) 466-5866

Other identifiers 1

IdentifierTypeStateIssuer
2418306MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040323000582 OH Practitioner - Physical Therapist in Private Practice 3577454115 Reassigns benefits to 1 organization
I20230512000089 VA Practitioner - Physical Therapist in Private Practice 3577454115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fitness Matters Inc.Group PAC ID 3375799919, 30 clinicians

Practice addresses (Care Compare)

164 Wetherby LN
Westerville, OH 43081-4957
Phone (614) 841-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Beach Physical Therapy & Wellness , PLLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Fitness Matters Inc. CurrentSince Aug 1, 2024 Accepting new patients

Locations

7710 Olentangy River Rd
Columbus, OH 43235
Phone (614) 841-3900

7710 Olentangy River Rd
Ste 100
Columbus, OH 43235
Phone (614) 841-3900

5150 Bradenton Ave
Ste C
Dublin, OH 43017
Phone (614) 362-6571

164 Wetherby Ln
Westerville, OH 43081
Phone (614) 392-1880

2126 Great Neck Sq
Virginia Beach, VA 23454
Phone (757) 578-2197

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1124072012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 S MAIN ST",
            "address_2": "SUITES A B",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605545031",
            "telephone_number": "630-466-5866",
            "fax_number": "630-466-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S MAIN ST",
            "address_2": "SUITES A B",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605545031",
            "telephone_number": "630-466-5866",
            "fax_number": "630-466-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DENISE",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2418306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.