Nicole Ashley Bailey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P20158 Issued in NC

Practice address

8420 University Exec Park Dr Ste 850
Charlotte, NC 28262-1308

Phone

(704) 316-3850

Fax

(704) 316-1755

NPI assigned

Apr 14, 2021

Last updated

Jun 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nbailey756696@direct.novanthealth.org

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.

• Novant Health Medical Group, LLC

  dba Novant Health Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1306950282

  Single Specialty

  Medicare reassignment NPD
• Novant Medical Group Inc

  dba Novant Health Lakeside Physical Therapy & Sports Medicine

  • Physical Therapist
  • Huntersville, NC
  • NPI 1407197643
  NPD
• Foundation Health Systems LLC

  dba Novant Health Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
  • NPI 1205894029

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1942880778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 UNIVERSITY EXEC PARK DR STE 850",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621308",
            "telephone_number": "704-316-3850",
            "fax_number": "704-316-1755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4503 Main St",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704447",
            "country_code": "US",
            "telephone_number": "910-721-3157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "NICOLE",
        "middle_name": "ASHLEY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbailey756696@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8420 University Exec Park Dr Ste 850",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282621308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Bailey, OTR/L
• John Russell Bailey, MD
• Kala E Bailey, LPC-A
• Karen Elizabeth Bailey
• Kimberly M Bailey, CCS
• Peter Warren Bailey, M.D.
• Rochic Bailey
• Roderick Thomas Bailey
• Roschelle E Bailey, CCC-SLP
• Victoria Meroney Bailey, PA-C

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.