Individual provider Active NPI

Bailey Feder Marzitelli, PT, DPT

  • Physical Therapist
  • Macon, GA
National Provider Identifier
1952083610
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016748 Issued in GA
Practice address
1645 Forest Hill Rd Ste 105
Macon, GA 31210-1697
Phone
(478) 960-7077
NPI assigned
Aug 2, 2023
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 PT016748 GA Primary

Addresses

Primary practice location

1645 Forest Hill Rd Ste 105
Macon, GA 31210-1697

Mailing address

123 Umiya Nagar Cir
Macon, GA 31206-5401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919002507 GA Practitioner - Physical Therapist in Private Practice 9032573332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVP Physio Dr. LLCGroup PAC ID 6204242654, 3 clinicians

Practice addresses (Care Compare)

1645 Forest Hill Rd
Suite 105
Macon, GA 31210-1697
Phone (334) 322-2536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Physio Dr. LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients

Locations

1645 Forest Hill Rd
Ste 105
Macon, GA 31210
Phone (334) 322-2536

Organizations & group practices 1

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1952083610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 UMIYA NAGAR CIR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312065401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 FOREST HILL RD STE 105",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101697",
            "telephone_number": "478-960-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZITELLI",
        "first_name": "BAILEY",
        "middle_name": "FEDER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.