Active NPI
Bailey Johnson
- Physical Therapist
- Iron Mountain, MI
National Provider Identifier
1881531994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501304263
- Practice address
- 1401 Carpenter Ave
Iron Mountain, MI 49801-4768 - Phone
- (906) 970-9199
- Fax
- (855) 515-0849
- NPI assigned
- Apr 29, 2026
- 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 | 5501304263 | MI | Primary |
Addresses
Primary practice location
1401 Carpenter Ave
Iron Mountain, MI 49801-4768
Mailing address
1401 Carpenter Ave
Iron Mountain, MI 49801-4768
Phone (906) 970-9199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Carpenter Ave
Iron Mountain, MI 49801-4768
Phone (906) 970-9199
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501304263 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark R. Young, Inc. | Current | Accepting new patients | |
| Real Heal PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1401 Carpenter Ave
Iron Mountain, MI 49801
Phone (906) 776-4357
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.
-
- Physical Therapist
- Iron Mountain, MI
- NPI 1518622497
-
- Community/Behavioral Health Agency
- Iron Mountain, MI
- NPI 1770668667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1881531994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 CARPENTER AVE",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498014768",
"telephone_number": "906-970-9199",
"fax_number": "855-515-0849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 CARPENTER AVE",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498014768",
"telephone_number": "906-970-9199",
"fax_number": "855-515-0849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-29",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501304263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.