Marilyn A Bagley

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

00026 Issued in CT

Practice address

130 Loomis Dr
West Hartford, CT 06107-2037

Phone

(860) 521-8700

NPI assigned

Dec 6, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1285149674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S MAIN ST",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067866809",
            "telephone_number": "413-519-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LOOMIS DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072037",
            "telephone_number": "860-521-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "MARILYN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "00026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deena Babigian, APRN
• Olivia Alice Bacha, LMSW
• Christopher Ryan Bachand
• Karen E Bachman, MSW
• Valencia L Bagby-Young, EDD PSYCHOLOGY
• Debra S. Bailey, PH.D.
• Donna Rosanne Baker-Gilroy, LPC
• Gordon Baker, MA
• Laura Porter Baker, MSW LCSW
• Balance CBT of New England, LLC

• All providers in West Hartford, CT
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.