Bayley Marsh, DPT
Individual provider Active NPI Neurology Physical Therapist · Callahan, FL
NPI 1508184292 · NPPES record last updated Jul 8, 2022
Key facts
- NPI
- 1508184292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physical Therapist 2251N0400X
- License
- PT32662 (FL)
- Practice address
- 450077 State Road 200 Ste 9
Callahan, FL 32011-3863 - Phone
- (904) 872-2004
- NPI assigned
- May 5, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160908002516 | NY | Practitioner - Physical Therapist in Private Practice | 1153617618 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32662 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority One Therapy PT OT SLP PLLC | Current |
Accepting new patients | |
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Past |
Accepting new patients |
Locations
450077 State Road 200
Ste 9
Callahan, FL 32011
Phone (904) 872-2004
99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | PT32662 | FL | Yes |
| Physical Therapist | 225100000X | PT32662 | FL |
Addresses
Primary practice location
450077 State Road 200 Ste 9
Callahan, FL 32011-3863
Mailing address
450077 State Road 200 Ste 9
Callahan, FL 32011-3863
Phone (904) 872-2004
Other practice location 1
2401 University Pkwy Ste 102
Sarasota, FL 34243-2894
Phone (941) 355-2767
Other providers in Callahan, FL
- LBJ Transportation
- Christine M Lefko
- Danelys Leyva Chacon
- Elizabeth Ann Luke
- Jenny Lee Mahoney
- Margaret Nancy Martini
- Leroy John Mathew
- Douglas Michael Matthews
- Stephanie Ann May
- Kaitlyn McConnell
All providers in Callahan, FL · Neurology Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.