Active NPI
Alicia Marie Bailey, PTA
- Physical Therapy Assistant
- El Dorado, AR
National Provider Identifier
1669612529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2001
- Practice address
- 431 W Oak St
El Dorado, AR 71730-4566 - Phone
- (870) 864-9190
- Fax
- (870) 864-9191
- NPI assigned
- Mar 4, 2009
- Last updated
- Mar 4, 2009
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2001 | AR | Primary |
Addresses
Primary practice location
431 W Oak St
El Dorado, AR 71730-4566
Mailing address
2623 Deer Crossing St
El Dorado, AR 71730-6801
Phone (870) 862-8455
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 |
|---|---|---|---|
| 2001 | AR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1669612529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2623 DEER CROSSING ST",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717306801",
"telephone_number": "870-862-8455",
"fax_number": "870-864-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 W OAK ST",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304566",
"telephone_number": "870-864-9190",
"fax_number": "870-864-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ALICIA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-04",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "2001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.