Individual provider Active NPI

Monica R Bailey, OTR/L

  • Pediatric Occupational Therapist
  • Orlando, FL
National Provider Identifier
1336587955
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT18076 Issued in FL
Practice address
6900 S Orange Blossom TRL Ste 102
Orlando, FL 32809-5734
Phone
(321) 445-1287
Fax
(407) 386-7448
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT18076 FL Primary
Occupational Therapist 225X00000X R5443 KY

Addresses

Primary practice location

6900 S Orange Blossom TRL Ste 102
Orlando, FL 32809-5734

Mailing address

1900 Midland TRL
Suite 1 & 2
Shelbyville, KY 40065-8141
Phone (502) 633-1007

Other names 1

  • Monica R Dean Former name

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

LicenseStateTypeSpecialty
R5443KYMDOccupational Therapist
OT18076FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk Active Corporation PastSince Oct 11, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1336587955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MIDLAND TRL",
            "address_2": "SUITE 1 & 2",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658141",
            "telephone_number": "502-633-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 S ORANGE BLOSSOM TRL STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095734",
            "telephone_number": "321-445-1287",
            "fax_number": "407-386-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MONICA",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT18076",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R5443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "DEAN",
            "middle_name": "R",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.