Active NPI
Darren Marc Bayliss, P.T.
- Physical Therapist
- Dallas, TX
National Provider Identifier
1710901152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1231280
- Practice address
- 5510 Abrams Rd Ste 115
Dallas, TX 75214-2099 - Phone
- (214) 265-9704
- Fax
- (214) 265-9705
- NPI assigned
- Jul 27, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ergonomics Physical Therapist | 2251E1200X | 3616 | AZ | |
| Sports Physical Therapist | 2251S0007X | 3616 | AZ | |
| Physical Therapist | 225100000X | 1231280 | TX | Primary |
Addresses
Primary practice location
5510 Abrams Rd Ste 115
Dallas, TX 75214-2099
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6250
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0464010 | Other | AZ | BLUE CROSS OF ARIZONA |
| 11492100 | Other | AZ | CAQH |
| 6696796 | Other | AZ | GHI |
| 952681 | Other | AZ | AHCCCS |
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 |
|---|---|---|---|
| 3616 | AZ | MD | Adult Medicine Physician |
Interoperability endpoints
- darren.bayliss.p6@direct.athleticoltd.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1710901152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6250",
"fax_number": "630-575-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 ABRAMS RD STE 115",
"city": "DALLAS",
"state": "TX",
"postal_code": "752142099",
"telephone_number": "214-265-9704",
"fax_number": "214-265-9705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYLISS",
"first_name": "DARREN",
"middle_name": "MARC",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "AZ",
"license": "3616",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "AZ",
"license": "3616",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1231280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ARIZONA",
"identifier": "AZ0464010",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11492100",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6696796",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "952681",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.