Individual provider Active NPI

Danielle L Bailey, P.T.

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1861799082
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1229073 Issued in TX
Practice address
4324 Mapleshade LN Ste 156
Plano, TX 75093-0050
Phone
(708) 415-4386
Fax
(214) 736-1190
NPI assigned
Feb 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 1229073 TX Primary

Addresses

Primary practice location

4324 Mapleshade LN Ste 156
Plano, TX 75093-0050

Mailing address

4324 Mapleshade Lane
Suite 156
Plano, TX 75093-0050
Phone (708) 415-4386

Other practice location 1

426 E 162nd St
South Holland, IL 60473-2258
Phone (708) 333-0677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901003739 TX Practitioner - Physical Therapist in Private Practice 2567646060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4324 Mapleshade LN
Suite 156
Plano, TX 75093-0050
Phone (214) 659-1683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1229073TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
360 PT and Wellness, PLLC Physical Therapist CurrentSince Jul 26, 2021 Accepting new patients
360 Counseling & Wellness, PLLC PastSince Apr 17, 2022 Accepting new patients

Locations

4324 Mapleshade Ln
Ste 156
Plano, TX 75093
Phone (214) 659-1683

4324 Mapleshade Ln
Ste 157
Plano, TX 75093
Phone (214) 659-1683

5172 Village Creek Dr
Ste 101
Plano, TX 75093
Phone (214) 308-1407

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.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1861799082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 MAPLESHADE LANE",
            "address_2": "SUITE 156",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930050",
            "telephone_number": "708-415-4386",
            "fax_number": "214-736-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 MAPLESHADE LN STE 156",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930050",
            "telephone_number": "708-415-4386",
            "fax_number": "214-736-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 E 162nd St",
            "address_purpose": "LOCATION",
            "city": "South Holland",
            "state": "IL",
            "postal_code": "604732258",
            "country_code": "US",
            "telephone_number": "708-333-0677",
            "fax_number": "708-333-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DANIELLE",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2024-12-06",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1229073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.