Individual provider Active NPI

Danielle A Bailey, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1164721320
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1307335 Issued in TX
Practice address
14701 San Pedro Ave Ste 105
San Antonio, TX 78232-4312
Phone
(210) 238-0353
Fax
(210) 399-0383
NPI assigned
Mar 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 1307335 TX Primary

Addresses

Primary practice location

14701 San Pedro Ave Ste 105
San Antonio, TX 78232-4312

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

7939 Pat Booker Rd Ste 120
Live Oak, TX 78233-2776
Phone (210) 660-2345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723000859 TN Practitioner - Physical Therapist in Private Practice 5092053165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watauga Orthopaedics PLCGroup PAC ID 1456246479, 85 clinicians

Practice addresses (Care Compare)

2412 Susannah St
Johnson City, TN 37601-1726
Phone (423) 282-9011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1307335TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Watauga Orthopaedics, PLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
Watauga Orthopaedics PLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
Agilitas USA Inc CurrentSince Dec 5, 2022 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

340 Steeles Rd
Bristol, TN 37620
Phone (423) 282-9011

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

2410 Susannah St
Johnson City, TN 37601
Phone (423) 282-9011

2412 Susannah St
Johnson City, TN 37601
Phone (423) 282-8070

806 E Jackson Blvd
Ste 15
Jonesborough, TN 37659
Phone (423) 753-2805

875 Larry Neil Way
Kingsport, TN 37660
Phone (423) 282-9011

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Interoperability endpoints

  • Direct secure messaging: danielle.bailey.1@3374.direct.athenahealth.com

Organizations & group practices 5

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": "1301097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1164721320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 SAN PEDRO AVE STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324312",
            "telephone_number": "210-238-0353",
            "fax_number": "210-399-0383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7939 Pat Booker Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782332776",
            "country_code": "US",
            "telephone_number": "210-660-2345",
            "fax_number": "210-446-1442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DANIELLE",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-26",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1307335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.