Gena Renee Bailey, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA5301 Issued in MS

Practice address

1114 Commonwealth Blvd
Tupelo, MS 38804-9301

Phone

(662) 840-6366

Fax

(662) 680-9797

NPI assigned

May 14, 2024

Last updated

May 14, 2024By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1497504450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 ROAD 1850",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388047004",
            "telephone_number": "662-871-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 COMMONWEALTH BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388049301",
            "telephone_number": "662-840-6366",
            "fax_number": "662-680-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "GENA",
        "middle_name": "RENEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA5301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaina Valsamakis Baggett, CCC-SLP
• Amanda H Bagwell, CRNA
• Poonam Bai, MD
• Antwinette Bailey
• Elizabeth Ewing Bailey, ACNP
• Krista Bailey
• Laurie A Bailey, PHARM D
• Shirlisa Royshelle Bailey
• Janie Bain
• Akira Keyana Baker, NP

• Physical Therapy Assistant in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.