Bailey Nelson, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

17886 Issued in CA

Practice address

77564 Country Club Dr Ste 340
Palm Desert, CA 92211-0450

Phone

(760) 772-2838

Fax

(760) 772-2838

NPI assigned

Sep 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Desert Occupational Therapy for Kids Inc.

  • Occupational Medicine Clinic/Center
  • Palm Desert, CA
  • NPI 1922470608
  NPD (past)

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1932628641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 340",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110450",
            "telephone_number": "760-772-2838",
            "fax_number": "760-772-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 340",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110450",
            "telephone_number": "760-772-2838",
            "fax_number": "760-772-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77564 Country Club Dr Ste 368",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922116226",
            "country_code": "US",
            "telephone_number": "760-772-2838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BAILEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "17886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@dot4kids.com",
            "affiliation": "N",
            "address_1": "77564 Country Club Dr Ste 340",
            "city": "Palm Desert",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922110450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Alyece Nazemi, D.C.
• Alireza Yekta Nazeri
• Angel Ndiwa
• Angie Negro, LCSW
• Nelson T Goff DC
• Eudora Tecumseh Nelson, M.S.
• Jessica Kathleen Nelson
• Robert Nelson, PH.D.
• Nephrology Associates Medical Group Inc
• New Beginning Physical Therapy

• Pediatric Occupational Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.