Active NPI
Bailey Joy Iwasa, DPT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Folsom, CA
National Provider Identifier
1609356187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 295294
- Practice address
- 691 E Bidwell St
Folsom, CA 95630-3120 - Phone
- (916) 572-6162
- NPI assigned
- Aug 15, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 295294 | CA | Primary |
Addresses
Primary practice location
691 E Bidwell St
Folsom, CA 95630-3120
Mailing address
691 E Bidwell St
Folsom, CA 95630-3120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
691 E Bidwell St
Folsom, CA 95630-3120
Phone (916) 572-6162
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mac Performance Physical Therapy Inc | Current | Accepting new patients | |
| Burger Physical Therapy and Rehabilitation Agency Inc | Past | Accepting new patients |
Locations
691 E Bidwell St
Folsom, CA 95630
Phone (916) 572-6162
3727 Bradview Dr
Ste 90
Sacramento, CA 95827
3727 Bradview Dr
Ste 100
Sacramento, CA 95827
Phone (916) 572-6162
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Folsom, CA
- NPI 1366162950
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1457333908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1609356187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "691 E BIDWELL ST",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "691 E BIDWELL ST",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303120",
"telephone_number": "916-572-6162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWASA",
"first_name": "BAILEY",
"middle_name": "JOY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "CA",
"license": "295294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.