Gordon R Bailey, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT009652L Issued in PA

Practice address

512 E Columbus Ave
Corry, PA 16407-9014

Phone

(814) 664-9346

Fax

(814) 663-0169

NPI assigned

Feb 13, 2006

Last updated

Jan 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Penn Therapeutics and Physical Therapy, Inc

  dba Corry Works Physical Therapy

  • Physical Therapist
  • Corry, PA
  • NPI 1083612048

  Specialist

  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1881667467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E COLUMBUS AVE",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164079014",
            "telephone_number": "814-664-9346",
            "fax_number": "814-663-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E COLUMBUS AVE",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164079014",
            "telephone_number": "814-664-9346",
            "fax_number": "814-663-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "GORDON",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT009652L",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT009652L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY NUMBER - UNIVERA",
            "identifier": "00025292701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY NUMBER - IND. HEAL",
            "identifier": "9390591",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY NUMBER - HIGHMARK",
            "identifier": "457211",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Albright
• Keith Jared Anthony
• Michael Antoon, DO
• Hamza Asif, MBBS
• Amy J Bahl, CRNP
• Andrea Sue Ball, DMD
• Timothy James Barrett, DO
• Kelsey Jayne Beichner, M.S. SLP-CF
• Flora A Bensink, P.T.
• Better U Boutique, LLC

• Orthopedic Physical Therapist in Corry, PA
• Providers in Corry, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

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