Bailey Leigh Porter, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-1288 Issued in ID

Practice address

2840 Channing Way Ste 100
Idaho Falls, ID 83404-7529

Phone

(208) 529-7924

NPI assigned

Oct 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124530563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 CHANNING WAY STE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 CHANNING WAY STE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047529",
            "telephone_number": "208-529-7924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 E 25th St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047542",
            "country_code": "US",
            "telephone_number": "208-227-2155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "BAILEY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Anthony Pomeroy II
• Tyler Jordan Pond, PA-C
• Mark A Popwell, PHARMD
• Porter Eyecare PLLC
• Andrea Porter, RDN
• Chad Michael Porter, LCSW
• Clayden Porter, LSW
• Emily Porter
• John Wesley Porter, OD
• Kimberly Porter, LMSW

• Occupational Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.