Individual provider Active NPI

Jamie Elizabeth Bayliss, PT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1174590491
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 11386 Issued in OH
Practice address
5500 Harrison Ave
Cincinnati, OH 45248-2361
Phone
(513) 661-3114
NPI assigned
Mar 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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 PT 11386 OH Primary

Addresses

Primary practice location

5500 Harrison Ave
Cincinnati, OH 45248-2361

Mailing address

3936 Grace Ave
Cincinnati, OH 45211-3317
Phone (513) 574-0639

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
PT 11386OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Physical Therapy and Rehabilitation Physical Therapist PastSince Feb 14, 2008 Accepting new patients

Organizations & group practices 1

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": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1174590491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 GRACE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452113317",
            "telephone_number": "513-574-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452482361",
            "telephone_number": "513-661-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLISS",
        "first_name": "JAMIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-06",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 11386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.