Bailey Ditmer, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

169019 Issued in AK

Practice address

6921 E Garth Cir Ste B
Palmer, AK 99645-5922

Phone

(907) 745-5444

NPI assigned

May 3, 2021

Last updated

May 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Altitude Chiropractic LLC

  • Chiropractor
  • Palmer, AK
  • NPI 1689032203
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1730762204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3484 N ARABIAN LN",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458832",
            "telephone_number": "907-707-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6921 E GARTH CIR STE B",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996455922",
            "telephone_number": "907-745-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITMER",
        "first_name": "BAILEY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "169019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Christopher Dewey
• Sara Jean Diamond
• Christopher David Dietrich, PA-C
• Myra Dimitrov Dimitrov, M.D.
• Tatyana Disla
• Polly Anderson Divens
• Division of Alaskan Pioneer Homes
• Elizabeth Ann Dixon
• Amy Marie Dorsey
• Kaylee Doss

• Massage Therapist in Palmer, AK
• Providers in Palmer, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.