Active NPI
Brian Bailey
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1700695533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 307237
- Practice address
- 5102 Wilshire Blvd
Los Angeles, CA 90036-4313 - Phone
- (323) 853-8898
- NPI assigned
- Jan 6, 2025
- Last updated
- Jan 6, 2025
- 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 | 307237 | CA | Primary |
Addresses
Primary practice location
5102 Wilshire Blvd
Los Angeles, CA 90036-4313
Mailing address
1051 S Rimpau Blvd
Los Angeles, CA 90019-1810
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 |
|---|---|---|---|
| 307237 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1700695533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 S RIMPAU BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900191810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5102 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364313",
"telephone_number": "323-853-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "307237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.