Active NPI
William Robert Bailey, D.P.T, O.C.S, S.T.C.
- Physical Therapist
- Brookville, PA
National Provider Identifier
1144201658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT001256E
- Practice address
- 2687 Maplevale Rd
Brookville, PA 15825-4755 - Phone
- (814) 849-2442
- Fax
- (814) 849-5190
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
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.
-
- Physical Therapist
- Cranberry Township, PA
- NPI 1720084155
-
- Speech-Language Pathologist
- Blairsville, PA
- NPI 1972604783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rehabilitation and Health Services, Inc. | Past | Accepting new patients | |
| Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | Past | Accepting new patients |
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PT001256E | PA | |
| Orthopedic Physical Therapist | 2251X0800X | PT001256E | PA | |
| Physical Therapist | 225100000X | PT001256E | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2687 Maplevale Rd
Brookville, PA 15825-4755
Mailing address
430 Innovation Drive
Blairsville, PA 15717-8096
Phone (724) 343-4060
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013987130004 | Medicaid | PA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 20, 2015.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1144201658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 INNOVATION DRIVE",
"city": "BLAIRSVILLE",
"state": "PA",
"postal_code": "157178096",
"telephone_number": "724-343-4060",
"fax_number": "724-343-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2687 MAPLEVALE RD",
"city": "BROOKVILLE",
"state": "PA",
"postal_code": "158254755",
"telephone_number": "814-849-2442",
"fax_number": "814-849-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "WILLIAM",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.P.T, O.C.S, S.T.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "PA",
"license": "PT001256E",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT001256E",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT001256E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013987130004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.