Individual provider Active NPI

Bailey Gillliam

  • Massage Therapist
  • Huntington Woods, MI
National Provider Identifier
1881472025
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501017632 Issued in MI
Practice address
26711 Woodward Ave Ste 305
Huntington Woods, MI 48070-1369
Phone
(248) 631-4728
NPI assigned
Sep 19, 2023
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501017632 MI Primary

Addresses

Primary practice location

26711 Woodward Ave Ste 305
Huntington Woods, MI 48070-1369

Mailing address

3024 Starr Rd
Royal Oak, MI 48073-2228
Phone (734) 309-1391

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
7501017632MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dustin Palmer Bodywork & Massage, LLC. Massage Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1881472025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 STARR RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732228",
            "telephone_number": "734-309-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE STE 305",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701369",
            "telephone_number": "248-631-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLLIAM",
        "first_name": "BAILEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-19",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501017632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.