Active NPI
Deirdre Jeanne Bailey, PT
- Physical Therapist
- Lubbock, TX
National Provider Identifier
1457516577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030071-1
- Practice address
- 5201 Indiana Ave
200 Central
Lubbock, TX 79413-4200 - Phone
- (806) 791-2100
- Fax
- (806) 791-2105
- NPI assigned
- Jul 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 030071-1 | NY | Primary |
| Physical Therapist | 225100000X | 1110435 | TX |
Addresses
Primary practice location
5201 Indiana Ave
200 Central
Lubbock, TX 79413-4200
Mailing address
5201 Indiana Ave
200 Central
Lubbock, TX 79413-4200
Phone (806) 791-2100
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 |
|---|---|---|---|
| 030071-1 | NY | MD | Physical Therapist |
| 1110435 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1457516577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 INDIANA AVE",
"address_2": "200 CENTRAL",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794134200",
"telephone_number": "806-791-2100",
"fax_number": "806-791-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 INDIANA AVE",
"address_2": "200 CENTRAL",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794134200",
"telephone_number": "806-791-2100",
"fax_number": "806-791-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "DEIRDRE",
"middle_name": "JEANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030071-1",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1110435",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.