Individual provider Active NPI

Bayley Schroeder

  • Physical Therapist
  • Auburn, ME
National Provider Identifier
1154963973
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6093 Issued in ME
Practice address
1520 Hotel Rd
Auburn, ME 04210-3612
Phone
(207) 376-3022
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 044999 NY
Physical Therapist 225100000X PT6093 ME Primary

Addresses

Primary practice location

1520 Hotel Rd
Auburn, ME 04210-3612

Mailing address

52 Country LN
Durham, ME 04222-5321
Phone (518) 598-3940

Other practice location 1

711 Troy-Schenectady Road, Ste 216
Latham, NY 12110
Phone (518) 786-1665

Other identifiers 1

IdentifierTypeStateIssuer
05979126MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
PT6093MEMDPhysical Therapist
044999NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1154963973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 COUNTRY LN",
            "city": "DURHAM",
            "state": "ME",
            "postal_code": "042225321",
            "telephone_number": "518-598-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 HOTEL RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103612",
            "telephone_number": "207-376-3022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Troy-Schenectady Road, Ste 216",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "12110",
            "country_code": "US",
            "telephone_number": "518-786-1665",
            "fax_number": "518-785-0056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "BAYLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044999",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05979126",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.