Individual provider Active NPI

Carly Nicole Bayley, DPT

  • Physical Therapist
  • Lodi, CA
National Provider Identifier
1831868314
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300858 Issued in CA
Practice address
631 S Ham LN
Lodi, CA 95242-3532
Phone
(209) 368-7433
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300858 CA Primary

Addresses

Primary practice location

631 S Ham LN
Lodi, CA 95242-3532

Mailing address

725 Howe Ave Apt 15
Sacramento, CA 95825-4606
Phone (707) 540-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211015001096 CA Practitioner - Physical Therapist in Private Practice 9739587114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Physical Therapy and Pilates IncGroup PAC ID 7911334123, 7 clinicians

Practice addresses (Care Compare)

1550 Parkside Dr
Suite 120
Walnut Creek, CA 94596-3532
Phone (925) 464-7292

Merit-based Incentive Payment System (MIPS)

Final score
67.73 of 100Reported as group
Quality
41.21
Improvement activities
40
Cost
83.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Physical Therapy and Pilates Inc. Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
TSH Inc. Physical Therapist CurrentSince Sep 12, 2021 Accepting new patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Sep 15, 2021 Accepting new patients
Sutter Gould Medical Foundation PastSince Sep 15, 2021 Accepting new patients
Gold Country Therapies, Inc PastSince Jan 1, 2015 Accepting new patients

Locations

631 S Ham Ln
Lodi, CA 95242
Phone (209) 368-7433

210 W Pine St
Lodi, CA 95240
Phone (209) 365-7867

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288

1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848

1550 Parkside Dr
Ste 120
Walnut Creek, CA 94596
Phone (925) 464-7292

201 N Civic Dr
Ste 110
Walnut Creek, CA 94596
Phone (925) 464-7292

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1831868314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HOWE AVE APT 15",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254606",
            "telephone_number": "707-540-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S HAM LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423532",
            "telephone_number": "209-368-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLEY",
        "first_name": "CARLY",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.