Active NPI
Lane Brooks Bailey, PT
- Physical Therapist
- Houston, TX
National Provider Identifier
1699006528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1239423
- Practice address
- 6400 Fannin St
Ste 1620
Houston, TX 77030-1521 - Phone
- (713) 704-6794
- Fax
- (713) 704-9005
- NPI assigned
- Jan 15, 2010
- Sex
- Male
- 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 Therapist | 225100000X | 1239423 | TX | Primary |
Addresses
Primary practice location
6400 Fannin St
Ste 1620
Houston, TX 77030-1521
Mailing address
6400 Fannin St
Ste 1620
Houston, TX 77030-1521
Phone (713) 704-6794
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1239423 | TX | MD | Physical Therapist |
| 6125 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1699006528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN ST",
"address_2": "STE 1620",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301521",
"telephone_number": "713-704-6794",
"fax_number": "713-704-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN ST",
"address_2": "STE 1620",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301521",
"telephone_number": "713-704-6794",
"fax_number": "713-704-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "LANE",
"middle_name": "BROOKS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-15",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1239423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.