Individual provider Active NPI

Bailey Davis Tollett

  • Occupational Therapist
  • Crossville, TN
National Provider Identifier
1447053822
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8049 Issued in TN
Practice address
129 Walker Hill St
Crossville, TN 38555-5484
Phone
(931) 787-1715
Fax
(931) 218-6996
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8049 TN Primary

Addresses

Primary practice location

129 Walker Hill St
Crossville, TN 38555-5484

Mailing address

129 Walker Hill St
Crossville, TN 38555-5484
Phone (931) 787-1715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417001945 TN Practitioner - Occupational Therapist in Private Practice 2567987910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Lincoln Memorial University Medical Department, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Balance Therapy PLLCGroup PAC ID 4688000748, 6 clinicians

Practice addresses (Care Compare)

56 S Main St
Crossville, TN 38555-4520
Phone (931) 787-1715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8049TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Balance Therapy, PLLC Occupational Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

56 S Main St
Crossville, TN 38555
Phone (440) 812-2853

129 Walker Hill St
Crossville, TN 38555
Phone (931) 787-1712

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": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1447053822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WALKER HILL ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555484",
            "telephone_number": "931-787-1715",
            "fax_number": "931-218-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WALKER HILL ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555484",
            "telephone_number": "931-787-1715",
            "fax_number": "931-218-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLETT",
        "first_name": "BAILEY",
        "middle_name": "DAVIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "8049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.