Bailey Gragg Mitchell, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13073 Issued in NC

Practice address

1880 N Center St
Hickory, NC 28601-1853

Phone

(828) 322-7826

NPI assigned

Feb 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Bailey Laurel Gragg Other name

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.

• Carolina Speech Source, LLC

  • Speech-Language Pathologist
  • Hickory, NC
  • NPI 1881671394
  NPD (past)

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1639763907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WHISPERING PINE ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558281",
            "telephone_number": "828-448-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011853",
            "telephone_number": "828-322-7826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 10th St NW Ste 20030110",
            "address_purpose": "LOCATION",
            "city": "Conover",
            "state": "NC",
            "postal_code": "286132419",
            "country_code": "US",
            "telephone_number": "704-529-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Commerce St SW",
            "address_purpose": "LOCATION",
            "city": "Conover",
            "state": "NC",
            "postal_code": "286138355",
            "country_code": "US",
            "telephone_number": "828-322-7826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BAILEY",
        "middle_name": "GRAGG",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "13073",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "GRAGG",
            "middle_name": "LAUREL",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel C Miranda, MD
• Victoria Miranda
• Anthony Albert Mirovsky II, PT
• Kamlesh Krishna Mistri, PA-C
• Lloyd William Mitcham Jr., LMFT
• Carrie Gullett Mitchell, FNP-C
• Penny Wlliamson Mitchell, FNP
• Janis H. Mixon, R.N.
• William A Mixon, R.PH.
• Eugene Francis Modlin, DDS

• Occupational Therapist in Hickory, NC
• Providers in Hickory, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.