Active NPI
Bailey Ellison Denno, DPT
- Physical Therapist
- Corvallis, OR
National Provider Identifier
1356619795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 525 NW 2ND St
Corvallis, OR 97330-6487 - Phone
- (503) 926-3338
- Fax
- (503) 961-7742
- NPI assigned
- Dec 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 6729 | OR | |
| Physical Therapist | 225100000X | OR | Primary |
Addresses
Primary practice location
525 NW 2ND St
Corvallis, OR 97330-6487
Mailing address
PO Box 382
Tangent, OR 97389-0382
Phone (503) 926-3338
Other practice location 1
3270 Liberty Rd S
Salem, OR 97302
Phone (503) 371-0779
Other names 1
- Ms. Bailey Ellison Mason
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6729 | OR | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1356619795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382",
"city": "TANGENT",
"state": "OR",
"postal_code": "973890382",
"telephone_number": "503-926-3338",
"fax_number": "503-961-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 NW 2ND ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973306487",
"telephone_number": "503-926-3338",
"fax_number": "503-961-7742"
}
],
"practiceLocations": [
{
"address_1": "3270 Liberty Rd S",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "97302",
"country_code": "US",
"telephone_number": "503-371-0779",
"fax_number": "503-371-0886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENNO",
"first_name": "BAILEY",
"middle_name": "ELLISON",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-13",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OR",
"license": "6729",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BAILEY",
"last_name": "MASON",
"middle_name": "ELLISON",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.