Active NPI
Katherine Lynn Bailey, PT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1861747347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2742
- Practice address
- 3110 Scott Cir
Omaha, NE 68112-2604 - Phone
- (402) 455-6636
- NPI assigned
- Jul 19, 2012
- Last updated
- Jan 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2742 | NE | Primary |
Addresses
Primary practice location
3110 Scott Cir
Omaha, NE 68112-2604
Mailing address
20118 Wirt St
Elkhorn, NE 68022-2693
Phone (402) 641-6113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2742 | NE | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pando Geriatric Counseling, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Omaha, NE
- NPI 1700171741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1861747347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20118 WIRT ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222693",
"telephone_number": "402-641-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 SCOTT CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681122604",
"telephone_number": "402-455-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "KATHERINE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.