Active NPI
Baby Cecille J Gay
- Physical Therapist
- Daytona Beach, FL
National Provider Identifier
1417229212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25002
- Practice address
- 104 Forest Lake Blvd Apt 203
Daytona Beach, FL 32119-8122 - Phone
- (407) 921-0085
- NPI assigned
- Feb 8, 2012
- Last updated
- Feb 8, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25002 | FL | Primary |
Addresses
Primary practice location
104 Forest Lake Blvd Apt 203
Daytona Beach, FL 32119-8122
Mailing address
104 Forest Lake Blvd Apt 203
Daytona Beach, FL 32119-8122
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25002 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1417229212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 FOREST LAKE BLVD APT 203",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321198122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 FOREST LAKE BLVD APT 203",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321198122",
"telephone_number": "407-921-0085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "BABY CECILLE",
"middle_name": "J",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "25002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.