Individual provider Active NPI

Bailey Edwards

  • Physical Therapist
  • Johnstown, PA
National Provider Identifier
1659009371
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
311 Warren St Ste 200
Johnstown, PA 15905-3444
Phone
(814) 288-3617
NPI assigned
Aug 10, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

311 Warren St Ste 200
Johnstown, PA 15905-3444

Mailing address

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Other practice location 1

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131001863 MD Practitioner - Physical Therapist in Private Practice 4385097807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Rehabilitation Systems LLCGroup PAC ID 4486547163, 71 clinicians

Practice addresses (Care Compare)

12580 National Pike
Grantsville, MD 21536-3310
Phone (301) 895-5793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Physical Therapy & Rehabilitation, Inc. Physical Therapist CurrentSince Aug 14, 2022 Accepting new patients
Medical Rehabilitation Systems, LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Mrs Physical Therapy Physical Therapist PastSince Nov 1, 2003 Accepting new patients

Locations

12580 National Pike
Grantsville, MD 21536
Phone (301) 895-5793

4538 Peach St
Erie, PA 16509
Phone (814) 864-6650

4538 Peach St
Lowr
Erie, PA 16509

311 Warren St
Ste 200
Johnstown, PA 15905
Phone (814) 288-3617

336 Bloomfield St
Johnstown, PA 15904
Phone (814) 269-2224

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1659009371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BLOOMFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043271",
            "telephone_number": "814-269-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WARREN ST STE 200",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053444",
            "telephone_number": "814-288-3617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 Bloomfield St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159043271",
            "country_code": "US",
            "telephone_number": "814-269-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.

Verify at the official NPI Registry.