Ellen Bailey

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10988 Issued in NY

Practice address

3255 Brighton Henrietta TL Road
Ste 102
Rochester, NY 14623-2853

Phone

(585) 427-7610

Fax

(585) 427-7410

NPI assigned

Jul 11, 2006

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 identifiers 1

Other names 1

• Ellen Mathis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Finger Lakes United Cerebral Palsy, Inc.

  • Clinic/Center
  • Canandaigua, NY
  • NPI 1194835462
  NPD (past)
• Pediatric Physical Therapy Services, PLLC

  • Physical Therapist
  • Rochester, NY
  • NPI 1861534281
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1831124668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 BRIGHTON HENRIETTA TL ROAD",
            "address_2": "STE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232853",
            "telephone_number": "585-427-7610",
            "fax_number": "585-427-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 BRIGHTON HENRIETTA TL ROAD",
            "address_2": "STE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232853",
            "telephone_number": "585-427-7610",
            "fax_number": "585-427-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "10988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11225304",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "MATHIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kanisha Shardey Bailey-Gaines, RN
• Alexei Bailey
• Annamarie Bailey, PHD
• Casey Ann Bailey, NP
• Elizabeth Bailey
• Jordan Bailey
• Julie Bailey, RPA C
• Kathryn A. Bailey, M.D.
• Maurice D Bailey, PHARMD
• Peter Bailey, M.D.

• Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.