Randy Bailey

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8300 Issued in FL

Practice address

1080 NW 15TH St
Boca Raton, FL 33486-1331

Phone

(561) 612-4791

NPI assigned

Sep 11, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1265081376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 CIRCLE LAKE DR",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334171183",
            "telephone_number": "954-554-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NW 15TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861331",
            "telephone_number": "561-612-4791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5624 Linton Blvd",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846410",
            "country_code": "US",
            "telephone_number": "561-495-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "RANDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "8300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Baechle
• Martin Baer, M.D.
• Cecilia Baez, LMHC
• Allyson Christina Bagenholm, M.D.
• Jennifer Johnson Bai Rossi, AUD
• Richard S. Bailyn, M.D.
• Leah Baker, M.D.
• Michelle Ann Baker, A.P.
• Balanced Behavior Therapy, LLC
• Joshua Balint, PA

• Occupational Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.