NPIMap

Individual provider Active NPI

Shaunalee L Bailey

  • Physical Therapist
  • Powhatan, VA
National Provider Identifier
1477560720
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305204195 Issued in VA
Practice address
1555 Standing Ridge Dr
C 1
Powhatan, VA 23139-8052
Phone
(804) 794-9023
Fax
(804) 794-9373
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305204195 VA Primary

Addresses

Primary practice location

1555 Standing Ridge Dr
C 1
Powhatan, VA 23139-8052

Mailing address

1555 Standing Ridge Dr
C 1
Powhatan, VA 23139-8052
Phone (804) 794-9023

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305204195VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midlothian Orthopedic Sports Therapy Physical Therapist Past Accepting new patients
Powhatan Physical Therapy Corporation Physical Therapist PastSince Feb 5, 2001 Accepting new patients

Organizations & group practices 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477560720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 STANDING RIDGE DR",
            "address_2": "C 1",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231398052",
            "telephone_number": "804-794-9023",
            "fax_number": "804-794-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 STANDING RIDGE DR",
            "address_2": "C 1",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231398052",
            "telephone_number": "804-794-9023",
            "fax_number": "804-794-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SHAUNALEE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powhatan, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.