Active NPI
Lisa Sharon Bayliss, OTR/L
- Rehabilitation Practitioner
- Miller Place, NY
National Provider Identifier
1235180787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 011323-1
- Practice address
- 269 Radio Ave
Miller Place, NY 11764-3528 - Phone
- (631) 205-5904
- NPI assigned
- May 12, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 011323-1 | NY | Primary |
Addresses
Primary practice location
269 Radio Ave
Miller Place, NY 11764-3528
Mailing address
269 Radio Ave
Miller Place, NY 11764-3528
Phone (631) 205-5904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Reinhardt College Pkwy
Canton, GA 30114-2011
Phone (770) 721-2812
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011323-1 | NY | MD | Rehabilitation Practitioner |
| 011323 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remedy Behavioral Health, LLC | Past | Accepting new patients | |
| Matthew Colucci P.T.,P.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Weston Health Care Group Inc
- Physical Therapist
- Acworth, GA
- NPI 1841309101
-
- Physical Therapist
- East Islip, NY
- NPI 1053472209
-
dba Remedy Behavioral Health
- Psychiatry Physician
- Florence, AL
- NPI 1013517317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235180787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 RADIO AVE",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117643528",
"telephone_number": "631-205-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 RADIO AVE",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117643528",
"telephone_number": "631-205-5904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYLISS",
"first_name": "LISA",
"middle_name": "SHARON",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NY",
"license": "011323-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miller Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.