Bailey Fettkether, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

124118 Issued in IA

Practice address

1260 S Jordan Creek Pkwy Apt 8311
West Des Moines, IA 50266-1281

Phone

(319) 883-9983

NPI assigned

Jul 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, MA, GA3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Bone and Joint, LLCGroup PAC ID 0446291140, 49 clinicians

Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
• Direct secure messaging: bailey.fettkether.1@17161.direct.athenahealth.com

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.

• Georgia Bone & Joint, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Newnan, GA
  • NPI 1447276811
  Medicare reassignment Care Compare group NPD
• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  Medicare reassignment Care Compare group
• Orthosc, LLC

  • Orthopaedic Surgery Physician
  • Murrells Inlet, SC
  • NPI 1861902728
  Medicare reassignment NPD
• Bay State Physical Therapy of Randolph Inc

  • Chiropractor
  • Quincy, MA
  • NPI 1316507627
  NPD
• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Franklin, MA
  • NPI 1821108549
  NPD
• Georgia Bone & Joint, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Covington, GA
  • NPI 1821855719
  NPD
• Orthosc, LLC

  • Orthopaedic Surgery Physician
  • Conway, SC
  • NPI 1275369787
  NPD
• Orthosc, LLC

  • Orthopaedic Surgery Physician
  • North Myrtle Beach, SC
  • NPI 1568100691
  NPD (past)

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1780422170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S JORDAN CREEK PKWY APT 8311",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S JORDAN CREEK PKWY APT 8311",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661281",
            "telephone_number": "319-883-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTKETHER",
        "first_name": "BAILEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP032895T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "124118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Duane Feldhacker
• Madison Rae Ferguson, PA-C
• Taylor Elise Ferguson, FNP-C
• Vickie J Ferguson, CRNA
• Kjersten Ferriss, FNP-C
• Jonathan M Fialkov, M.D.
• Savannah Fiedler, LMSW
• Frank Joseph Filippelli, D.O.
• Matthew Finnern
• Sherry L Fiscella, LMHC

• Physical Therapist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.