Active NPI
Raymond Alfred Bailey, PT
- Physical Therapist
- Peterson AFB, CO
National Provider Identifier
1245202449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1049260
- Practice address
- 559 Vincent St
Peterson AFB, CO 80914-1540 - Phone
- (719) 556-1060
- Fax
- (719) 556-9677
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1049260 | TX | Primary |
Addresses
Primary practice location
559 Vincent St
Peterson AFB, CO 80914-1540
Mailing address
559 Vincent St
21St Medical Group SGHQ
Peterson AFB, CO 80914-1540
Phone (719) 556-1060
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1049260 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245202449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 VINCENT ST",
"address_2": "21ST MEDICAL GROUP SGHQ",
"city": "PETERSON AFB",
"state": "CO",
"postal_code": "809141540",
"telephone_number": "719-556-1060",
"fax_number": "719-556-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 VINCENT ST",
"city": "PETERSON AFB",
"state": "CO",
"postal_code": "809141540",
"telephone_number": "719-556-1060",
"fax_number": "719-556-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "RAYMOND",
"middle_name": "ALFRED",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1049260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peterson AFB, CO
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.