Active NPI
Timothy Bailey
- Occupational Therapist
- Rogersville, AL
National Provider Identifier
1770880221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3620
- Practice address
- 17263 Highway 72
Rogersville, AL 35652-8108 - Phone
- (256) 810-9086
- NPI assigned
- Feb 18, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3620 | TN | Primary |
Addresses
Primary practice location
17263 Highway 72
Rogersville, AL 35652-8108
Mailing address
17263 Highway 72
Rogersville, AL 35652-8108
Phone (256) 810-9086
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1770880221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17263 HIGHWAY 72",
"city": "ROGERSVILLE",
"state": "AL",
"postal_code": "356528108",
"telephone_number": "256-810-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17263 HIGHWAY 72",
"city": "ROGERSVILLE",
"state": "AL",
"postal_code": "356528108",
"telephone_number": "256-810-9086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-18",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "3620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogersville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.