Bailey Laine Kirby, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA4445 Issued in AR

Practice address

1600 SW Broad St
Hoxie, AR 72433-2419

Phone

(870) 679-1506

Fax

(870) 679-1507

NPI assigned

Apr 24, 2021

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Higginbotham Therapy Providers LLC

  • Speech-Language Pathologist
  • Pocahontas, AR
  • NPI 1659676443
  NPD (past)

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

{
    "created_epoch": "1619222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1518549070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 MCILROY RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724555236",
            "telephone_number": "870-321-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW BROAD ST",
            "city": "HOXIE",
            "state": "AR",
            "postal_code": "724332419",
            "telephone_number": "870-679-1506",
            "fax_number": "870-679-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "BAILEY",
        "middle_name": "LAINE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-24",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA4445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Lucinda Ingram, LMSW
• Dominick Johnson
• Leah Marie Johnson
• Graham Karwath
• Willow Kasinger
• Lawrence Health Service
• Lawrence Memorial Hospital
• Kellie Lynn Letbetter, LCSW
• Bridgett Lewis, LPN
• Octavia Lloyd

• Physical Therapy Assistant in Hoxie, AR
• Providers in Hoxie, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; 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.