Active NPI
Lauren Bailey, PT, DPT
- Pediatric Physical Therapist
- Beaumont, TX
National Provider Identifier
1508585647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1370864
- Practice address
- 2615 Calder St Ste 610
Beaumont, TX 77702-1947 - Phone
- (409) 351-3680
- NPI assigned
- Aug 23, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 11323 | LA | |
| Pediatric Physical Therapist | 2251P0200X | 1370864 | TX | Primary |
Addresses
Primary practice location
2615 Calder St Ste 610
Beaumont, TX 77702-1947
Mailing address
3302 Cosmos St
Orange, TX 77632-9058
Other practice location 1
37278 Market Place Dr
Prairieville, LA 70769-3487
Phone (225) 744-1717
Other names 1
- Lauren Woods
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 |
|---|---|---|---|
| 11323 | LA | MD | Pharmacist |
| 1370864 | TX | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Children's Homecare, LP | Current | Accepting new patients | |
| First Choice Children's Homecare, LP | Past | Accepting new patients | |
| Spindletop MHMR Services | Past | Accepting new patients |
Locations
2615 Calder St
Ste 610
Beaumont, TX 77702
Phone (409) 344-1236
Organizations & group practices 3
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.
-
dba Thrive Skilled Pediatric Care
- Home Health Agency
- Beaumont, TX
- NPI 1578156063
-
- Early Intervention Provider Agency
- Beaumont, TX
- NPI 1750444303
-
dba Aveanna Healthcare
- Home Health Agency
- Wichita, KS
- NPI 1205371721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1508585647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 COSMOS ST",
"city": "ORANGE",
"state": "TX",
"postal_code": "776329058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 CALDER ST STE 610",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021947",
"telephone_number": "409-351-3680"
}
],
"practiceLocations": [
{
"address_1": "37278 Market Place Dr",
"address_purpose": "LOCATION",
"city": "Prairieville",
"state": "LA",
"postal_code": "707693487",
"country_code": "US",
"telephone_number": "225-744-1717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "LAUREN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "LA",
"license": "11323",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1370864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "WOODS",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.