Bayley Brynne Laketa

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60843131 Issued in WA

Practice address

4411 Point Fosdick Dr NW Ste 101
Gig Harbor, WA 98335-1703

Phone

(253) 851-7472

Fax

(253) 851-7473

NPI assigned

Jun 26, 2018

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

Other names 1

• Bayley Depaul Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• CMH Therapeutics PLLC

  dba Bremerton Physical Therapy

  • Physical Therapy Clinic/Center
  • Bremerton, WA
  • NPI 1194976217

  Physical Therapist

  Medicare reassignment NPD
• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  dba Northwest Sports Physical Therapy

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1982755070
  Medicare reassignment NPD
• Bayley Physical Therapy PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1457116683
  NPD Authorized official
• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  dba Northwest Sports Physical Therapy, Inc.

  • Physical Therapist
  • Tacoma, WA
  • NPI 1225582844
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1770078388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-682-8840",
            "fax_number": "423-602-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 POINT FOSDICK DR NW STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351703",
            "telephone_number": "253-851-7472",
            "fax_number": "253-851-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKETA",
        "first_name": "BAYLEY",
        "middle_name": "BRYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60843131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAYLEY",
            "last_name": "DEPAUL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Micah John Kurtz, LICSW
• Eric J Kvinsland, D.D.S.
• Jon H Kvinsland, D.D.S.
• Laboratory Corporation of America
• Lagniappe, PLLC (Lagniappe Physical Therapy and Pilates)
• Dagnie C Lamb, MD, MCR
• Joseph Julian Lamb, M.D.
• Aelish K Lambert, CF-SLP
• Elizabeth Lamm Pollock, LMT
• Mary Patricia Lancefield

• Physical Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.