Individual provider Active NPI

Lauren Bailey, PT, DPT

  • Pediatric Physical Therapist
  • Beaumont, TX
National Provider Identifier
1508585647
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1370864 Issued in TX
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

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
11323LAMDPharmacist
1370864TXMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Children's Homecare, LP CurrentSince May 19, 2024 Accepting new patients
First Choice Children's Homecare, LP PastSince May 19, 2024 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.

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.

Verify at the official NPI Registry.