Jill Marie Bailey, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2078816 Issued in TX

Practice address

4208 Retama Cir
Victoria, TX 77901-2765

Phone

(361) 582-0611

Fax

(361) 582-4978

NPI assigned

Aug 12, 2011

Last updated

Aug 12, 2011By 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

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1790064459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 VICTORIA STATION DR",
            "address_2": "APT 1703",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013027",
            "telephone_number": "361-484-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 RETAMA CIR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012765",
            "telephone_number": "361-582-0611",
            "fax_number": "361-582-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2078816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seyi Ayodele, PHARMD
• B Vijaya Kumar MD PA (Bangaruswamy Vijaya Kumar)
• B.W. Mobility, Inc.
• Roselyn Baah
• Jay S Babcock, DPT
• Christie Diane Bain, MS, RD, LD
• Jonathan Baines
• Lisa Baker, F.N.P.-C
• Reba Jane Baker
• Valerie Lyn Baker, O.D.

• Physical Therapy Assistant in Victoria, TX
• Providers in Victoria, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.