Active NPI
Karyn Malloch Bailey, LMT
- Massage Therapist
- Smyrna, DE
National Provider Identifier
1629407358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT0003409
- Practice address
- 5609 Dupont Pkwy Ste 7
Smyrna, DE 19977-9211 - Phone
- (302) 563-3443
- NPI assigned
- Nov 4, 2013
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT0003409 | DE | Primary |
Addresses
Primary practice location
5609 Dupont Pkwy Ste 7
Smyrna, DE 19977-9211
Mailing address
77 E Radison Run
Clayton, DE 19938-3831
Phone (302) 563-3443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT0003409 | Other | DE | LICENSE |
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 |
|---|---|---|---|
| MT0003409 | DE | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1629407358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 E RADISON RUN",
"city": "CLAYTON",
"state": "DE",
"postal_code": "199383831",
"telephone_number": "302-563-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5609 DUPONT PKWY STE 7",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199779211",
"telephone_number": "302-563-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOCH BAILEY",
"first_name": "KARYN",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "DE",
"license": "MT0003409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MT0003409",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.