Stephanie Rene Bailey, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT002644 Issued in GA

Practice address

5232 Yellowtail LN NW
Kennesaw, GA 30152-2843

Phone

(404) 388-8711

Fax

(770) 438-7536

NPI assigned

Dec 18, 2006

Last updated

Mar 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bailey Rehab and Therapyworks LLC

  • Home Health Agency
  • Kennesaw, GA
  • NPI 1629252911
  NPD Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1467515189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5232 YELLOWTAIL LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522843",
            "telephone_number": "404-388-8711",
            "fax_number": "770-438-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 YELLOWTAIL LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522843",
            "telephone_number": "404-388-8711",
            "fax_number": "770-438-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "STEPHANIE",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT002644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasiya Badziai, DMD
• Mary F Baer, LCSW
• Paul Bahati, RN
• Bailey Rehab and Therapyworks LLC
• Jamie Bailey, COTA/L
• Steven Hugh Bailey, MD
• Elizabeth W Baird, PT
• Ellen Burt Baker, LPC
• Megan Baker, DC
• Michael F Baker, RPH

• Occupational Therapist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.