Active NPI
Autumn Bailey, MOTR/L
- Occupational Therapist
- Altoona, PA
National Provider Identifier
1851689632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC008656
- Practice address
- 501 Valley View Blvd
Altoona, PA 16602-6410 - Phone
- (814) 205-1404
- Fax
- (814) 201-2021
- NPI assigned
- Jul 14, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Altoona, PA
- NPI 1205821238
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Procare PT LP
Practice addresses (Care Compare)
3200 Fairway Dr
Altoona, PA 16602-4458
Phone (814) 941-7708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200219002198 | PA | Practitioner - Occupational Therapist in Private Practice | 3870920549 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Care Health Systems Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC008656 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
501 Valley View Blvd
Altoona, PA 16602-6410
Mailing address
501 Valley View Blvd
Altoona, PA 16602-6410
Phone (814) 205-1404
Other practice location 1
821 Walnut St
Roaring Spring, PA 16673-1529
Phone (814) 224-0058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2020.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1851689632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 VALLEY VIEW BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166026410",
"telephone_number": "814-205-1404",
"fax_number": "814-201-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 VALLEY VIEW BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166026410",
"telephone_number": "814-205-1404",
"fax_number": "814-201-2021"
}
],
"practiceLocations": [
{
"address_1": "821 Walnut St",
"address_purpose": "LOCATION",
"city": "Roaring Spring",
"state": "PA",
"postal_code": "166731529",
"country_code": "US",
"telephone_number": "814-224-0058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "AUTUMN",
"name_prefix": "Ms.",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC008656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.