Roy V Baillard

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

027913-01 Issued in NY

Practice address

595 Route 25a
Miller Place, NY 11764-2646

Phone

(631) 849-1620

Fax

(631) 849-1587

NPI assigned

Nov 22, 2024

Sex

Male

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

Practice roles

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.

• Corrective Chiropractic, PLLC

  • Chiropractor
  • Miller Place, NY
  • NPI 1497191076
  NPD (past)

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1427873595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642646",
            "telephone_number": "631-849-1620",
            "fax_number": "631-849-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642646",
            "telephone_number": "631-849-1620",
            "fax_number": "631-849-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILLARD",
        "first_name": "ROY",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "027913-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beauval Aristide
• Kiersten Arnold, L.P.N.
• Jennifer Emily Atkins
• Adam August, DPT
• Marc Ian Avvento, D.C.
• Balanced OT Wellness, PLLC
• Rosalie Banovich, NPP
• Lucia Mary Barthes, MA, IBCLC
• Deborah Barton, RN
• Wendy Bauer

• Massage Therapist in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.