Active NPI
Barbie Owen Bayless, PHYSICAL THERAPIST
- Physical Therapist
- Trinidad, TX
National Provider Identifier
1962707356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1-5023-5
- Practice address
- 324 Comet Ranch Rd
Trinidad, TX 75163-4040 - Phone
- (903) 778-4587
- NPI assigned
- Jan 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1-5023-5 | TX | Primary |
Addresses
Primary practice location
324 Comet Ranch Rd
Trinidad, TX 75163-4040
Mailing address
324 Comet Ranch Rd
Trinidad, TX 75163-4040
Phone (903) 778-4587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-5023-5 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1962707356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 COMET RANCH RD",
"city": "TRINIDAD",
"state": "TX",
"postal_code": "751634040",
"telephone_number": "903-778-4587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 COMET RANCH RD",
"city": "TRINIDAD",
"state": "TX",
"postal_code": "751634040",
"telephone_number": "903-778-4587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYLESS",
"first_name": "BARBIE",
"middle_name": "OWEN",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1-5023-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trinidad, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.