Individual provider Active NPI

Nicole Bailey, PT, DPT

  • Physical Therapist
  • Slidell, LA
National Provider Identifier
1730870494
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11662 Issued in LA
Practice address
200 N Military Rd
Slidell, LA 70461-1624
Phone
(985) 641-2996
NPI assigned
May 15, 2023
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11662 LA Primary

Addresses

Primary practice location

200 N Military Rd
Slidell, LA 70461-1624

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other names 1

  • Nicole St. Aime Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209000839 LA Practitioner - Physical Therapist in Private Practice 3870936545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiofit Louisiana LLCGroup PAC ID 9830529650, 23 clinicians

Practice addresses (Care Compare)

200 N Military Rd
Physiofit la Military Road
Slidell, LA 70461-1624
Phone (985) 590-5029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11662LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiofit Louisiana LLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

11445 Coursey Blvd
Ste K
Baton Rouge, LA 70816
Phone (225) 377-4401

71121 Highway 21
Ste D
Covington, LA 70433
Phone (985) 898-3979

12627 Airline Hwy
Ste A
Destrehan, LA 70047
Phone (985) 603-4157

120 White Rose Dr
Raceland, LA 70394
Phone (985) 532-2229

200 N Military Rd
Slidell, LA 70461
Phone (985) 590-5029

2965 Gause Blvd E
Slidell, LA 70461
Phone (985) 231-6475

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1730870494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MILITARY RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704611624",
            "telephone_number": "985-641-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ST. AIME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.