Stephen Lee Bailey, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12367 Issued in SC

Practice address

10216 Broad River Rd
Irmo, SC 29063-9679

Phone

(803) 973-1717

Fax

(803) 462-5804

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vertex PT Specialists LLCGroup PAC ID 1355640285, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Vertex PT Specialists, LLC

  • Physical Therapist
  • Cayce, SC
  • NPI 1265899652
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1235971375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 12TH ST",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333304",
            "telephone_number": "803-973-0100",
            "fax_number": "803-973-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 BROAD RIVER RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639679",
            "telephone_number": "803-973-1717",
            "fax_number": "803-462-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "STEPHEN",
        "middle_name": "LEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey L Atkinson, FNP-BC
• Augustine Health Group, LLC (Providence Family Medicine Dutchfork)
• Zoe Louise Ayers, PHARM.D.
• Jeffery Bachman, PHARMD
• Dawn Bailey, RN
• Christian Baker, M.D.
• Rick Baldwin
• Kellie Anne Balko, OTR/L
• Ballentine Pediatrics, LLC
• Ballentine Rehabilitation & Wellness

• Physical Therapist in Irmo, SC
• Providers in Irmo, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.