Active NPI
Karen J Bailey, P.T.
- Physical Therapist
- Scarborough, ME
National Provider Identifier
1871688010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1272
- Practice address
- 5 Millbrook Rd
Scarborough, ME 04074-9702 - Phone
- (207) 510-6500
- Fax
- (207) 510-6565
- NPI assigned
- Oct 4, 2006
- Last updated
- Mar 4, 2013
- 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 | PT1272 | ME | Primary |
Addresses
Primary practice location
5 Millbrook Rd
Scarborough, ME 04074-9702
Mailing address
18 Skylark Rd
Portland, ME 04103-2016
Phone (207) 510-6500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3011201 | Other | AETNA/BB | |
| 044517 | Other | ME | ANTHEM BC/BS |
| 650025318 | Other | PALMETTO GBA | |
| 11223425 | Other | CAQH | |
| 7533401 | Other | AETNA/KY, TX & CHICKERING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of New England, College of Osteo Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Millbrook Rd
Scarborough, ME 04074-9702
Phone (207) 510-6500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1272 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Performance Physical Therapy,LLC | Physical Therapist | Current | Accepting new patients |
Locations
308 US Route 1
Ste E1
Scarborough, ME 04074
Phone (207) 303-3030
5 Millbrook Rd
Scarborough, ME 04074
Phone (207) 510-6500
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.
-
- Physical Therapist
- Scarborough, ME
- NPI 1518953959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1871688010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 SKYLARK RD",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032016",
"telephone_number": "207-510-6500",
"fax_number": "207-510-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MILLBROOK RD",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749702",
"telephone_number": "207-510-6500",
"fax_number": "207-510-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "KAREN",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT1272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/BB",
"identifier": "3011201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "044517",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "650025318",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11223425",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/KY, TX & CHICKERING",
"identifier": "7533401",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.