Individual provider Active NPI

Bailey Ledean Fordahl, PT

  • Physical Therapist
  • Lakewood, CO
National Provider Identifier
1912253105
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11749 Issued in CO
Practice address
274 Union Blvd
Suite 100
Lakewood, CO 80228-1813
Phone
(303) 232-9391
NPI assigned
Jul 25, 2012
Last updated
Aug 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11749 CO Primary

Addresses

Primary practice location

274 Union Blvd
Suite 100
Lakewood, CO 80228-1813

Mailing address

274 Union Blvd
Suite 100
Lakewood, CO 80228-1813
Phone (303) 232-9391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160519001388 CO Practitioner - Physical Therapist in Private Practice 6608165394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

1 Mercado St
Suite 201
Durango, CO 81301-7307
Phone (970) 385-0644

327 S Camino del Rio
Unit 11B
Durango, CO 81303-7997
Phone (970) 764-9200

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11749COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Physical Therapist CurrentSince Apr 25, 2016 Accepting new patients
Catholic Health Initiatives Colorado Physical Therapist Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Apr 25, 2016 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients

Locations

1 Mercado St
Ste 201
Durango, CO 81301
Phone (970) 385-0644

327 S Camino del Rio
Unit 11B
Durango, CO 81303
Phone (970) 764-9200

Organizations & group practices 6

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1912253105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 UNION BLVD",
            "address_2": "SUITE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281813",
            "telephone_number": "303-232-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 UNION BLVD",
            "address_2": "SUITE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281813",
            "telephone_number": "303-232-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDAHL",
        "first_name": "BAILEY",
        "middle_name": "LEDEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.

Verify at the official NPI Registry.