Individual provider Active NPI

Patrick Byron Bailey, C.O.T.A.

  • Occupational Therapy Assistant
  • Glendale, AZ
National Provider Identifier
1871807313
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
3365 Issued in AR
Practice address
8641 N 67TH Ave
Glendale, AZ 85302-4308
Phone
(623) 939-9475
NPI assigned
Jul 27, 2010
Sex
Male
Sole proprietor
No

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3365ARMDGeneral Practice Dentistry

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3365 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

8641 N 67TH Ave
Glendale, AZ 85302-4308

Mailing address

15231 W Post Dr
Surprise, AZ 85374-1424
Phone (623) 466-3938

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2010.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1871807313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15231 W POST DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853741424",
            "telephone_number": "623-466-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024308",
            "telephone_number": "623-939-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "PATRICK",
        "middle_name": "BYRON",
        "name_prefix": "Mr.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "3365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.