Samantha Rose Bailey, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044506-01 Issued in NY

Practice address

7955 N Kings Hwy Ste 330
Myrtle Beach, SC 29572-3056

Phone

(843) 945-1815

Fax

(843) 945-2343

NPI assigned

Dec 4, 2019

Last updated

Dec 30, 2019By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1346887817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LAC DE VILLE BLVD BLDG D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185647",
            "telephone_number": "585-341-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 N KINGS HWY STE 330",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723056",
            "telephone_number": "843-945-1815",
            "fax_number": "843-945-2343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Lac De Ville Blvd Bldg D",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146185647",
            "country_code": "US",
            "telephone_number": "585-341-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044506-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Corrine Badolato
• Maria Baens, M.D.
• Michael Bryce Bagby, DPT, PT
• Anthony Bailes, LAC
• Rori Bailey, BA, LPCA
• Jennifer Lee Bain
• Thomas David Bainter, MD, MPH
• Andrew Jonathan Baird, MD
• Courtney Baisden, FNP
• Caitlyn Olivia Baker

• Physical Therapist in Myrtle Beach, SC
• Providers in Myrtle Beach, 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 Dec 30, 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.